NPIMap

Organization Active NPI

Alliance Healthcare Services

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1295898393
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
276 Issued in TN
Legal business name
ALLIANCE HEALTHCARE SERVICES
Practice address
2150 Whitney Ave
Memphis, TN 38127-6662
Phone
(901) 353-5440
NPI assigned
Dec 19, 2006
Organization subpart
Yes
Parent organization
ALLIANCE HEALTHCARE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie Jean Powell, LCSWNPI 1639260748
Title
Ceo
Phone
(901) 567-3554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X L2140766281 TN
Case Management Agency 251B00000X L2140766280 TN
Case Management Agency 251B00000X L2140766279 TN
Community/Behavioral Health Agency 251S00000X 276 TN Primary
Community/Behavioral Health Agency 251S00000X 269 TN
Community/Behavioral Health Agency 251S00000X L2140766278 TN
Community/Behavioral Health Agency 251S00000X L2140766281 TN
Community/Behavioral Health Agency 251S00000X L2140766280 TN
Community/Behavioral Health Agency 251S00000X L2140766279 TN
Community/Behavioral Health Agency 251S00000X TN
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Primary Care Clinic/Center 261QP2300X
Primary Care Clinic/Center 261QP2300X TN
Primary Care Clinic/Center 261QP2300X L18537 TN

Addresses

Primary practice location

2150 Whitney Ave
Memphis, TN 38127-6662

Mailing address

2220 Union Ave
Alliance Healthcare Services
Memphis, TN 38104
Phone (901) 369-1420

Other practice location 1

3810 Winchester Rd
southeast mental health center
Memphis, TN 38118-6045
Phone (901) 369-1400

Other practice location 2

951 Court Ave
Memphis, TN 38103-2813
Phone (901) 577-9400

Other practice location 3

1200 Peabody Ave
Memphis, TN 38104-4506
Phone (901) 707-6861

Other practice location 4

3628 Summer Ave
Memphis, TN 38122-3740
Phone (901) 452-6941

Other practice location 5

2579 Douglass Ave
Memphis, TN 38114-2532
Phone (901) 369-1480

Other practice location 6

2100 Whitney Ave
Memphis, TN 38127-6662
Phone (901) 353-5440

Other identifiers 2

IdentifierTypeStateIssuer
3399596MedicaidTN
399596MedicaidTN

Other names 1

  • Southeast Mental Health Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090713000696 TN Part B Supplier - Clinic/Group Practice 4082766621 Receives reassigned benefits from 87 practitioners
1 other NPI on this enrollment
Practice locations: Memphis, TN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Southeast Mental HLTH CNTR

Locations

3810 Winchester Rd
Memphis, TN 38118
Phone (901) 369-1400

3200 Broad Ave
Memphis, TN 38112
Phone (901) 577-9400

2579 Douglass Ave
Memphis, TN 38114
Phone (901) 369-1418

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 97

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1295898393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 UNION AVE",
            "address_2": "ALLIANCE HEALTHCARE SERVICES",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38104",
            "telephone_number": "901-369-1420",
            "fax_number": "901-369-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WHITNEY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381276662",
            "telephone_number": "901-353-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Winchester Rd",
            "address_2": "southeast mental health center",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381186045",
            "country_code": "US",
            "telephone_number": "901-369-1400",
            "fax_number": "901-369-1433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 Court Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381032813",
            "country_code": "US",
            "telephone_number": "901-577-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Peabody Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381044506",
            "country_code": "US",
            "telephone_number": "901-707-6861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3628 Summer Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381223740",
            "country_code": "US",
            "telephone_number": "901-452-6941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2579 Douglass Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381142532",
            "country_code": "US",
            "telephone_number": "901-369-1480",
            "fax_number": "901-567-3559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Whitney Ave",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381276662",
            "country_code": "US",
            "telephone_number": "901-353-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALLIANCE HEALTHCARE SERVICES",
        "enumeration_date": "2006-12-19",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "901-567-3554",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "L2140766281",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "L2140766280",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TN",
            "license": "L2140766279",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "276",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "269",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L2140766278",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L2140766281",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L2140766280",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "L2140766279",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TN",
            "license": "L18537",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3399596",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "399596",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Mental Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.