Organization Active NPI

North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
National Provider Identifier
1457720120
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY
Practice address
8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322
Phone
(214) 366-9407
Fax
(214) 366-9417
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Ms. Carol E. Lucky
Title
Chief Executive Officer
Phone
(214) 299-9373

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community Health WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 172V00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Psychiatric Residential Treatment Facility 323P00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X
Respite Care 385H00000X

Addresses

Primary practice location

8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322

Mailing address

8111 Lyndon B Johnson Fwy Ste 900
Dallas, TX 75251-1322
Phone (469) 845-9857

Other practice location 1

106 S Jefferson St
Kaufman, TX 75142-1928
Phone (214) 351-3490

Other practice location 2

5201 S Colony Blvd Ste 545
The Colony, TX 75056-2365
Phone (214) 469-1911

Other practice location 3

319 N 12th St Ste 6
Corsicana, TX 75110-4604
Phone (214) 941-3500

Other practice location 4

2535 Lone Star Dr
Dallas, TX 75212-6313
Phone (214) 941-3500

Other practice location 5

5300 University Hills Blvd
Dallas, TX 75241-1219
Phone (214) 941-3500

Other practice location 6

110 W Grove St
Kaufman, TX 75142-2033
Phone (972) 283-9090

Other practice location 7

3001 Al Lipscomb Way
Dallas, TX 75215-1702
Phone (972) 283-9090

Other practice location 8

4215 Gannon Ln
Dallas, TX 75237-2914
Phone (972) 283-9090

Other practice location 9

120 W Main St Ste 220
Mesquite, TX 75149-4224
Phone (214) 351-3490

Other practice location 10

210 W 10th St
Dallas, TX 75208-4523
Phone (214) 351-3490

Other practice location 11

4031 W Plano Pkwy Ste 211
Plano, TX 75093-5627
Phone (214) 351-3490

Other practice location 12

1505 W Jefferson St Ste 120
Waxahachie, TX 75165-2200
Phone (214) 351-3490

Other practice location 13

319 N 12th St Ste 1
Corsicana, TX 75110-4604
Phone (214) 351-3490

Other practice location 14

4216 Wesley St Ste 101
Greenville, TX 75401-5638
Phone (214) 351-3490

Other practice location 15

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 351-3490

Other practice location 16

761 Justin Rd Ste C
Rockwall, TX 75087-4877
Phone (214) 351-3490

Other identifiers 1

IdentifierTypeStateIssuer
011556147OtherTXDUNS NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200629001278 TX Part B Supplier - Clinic/Group Practice 2769804350 Receives reassigned benefits from 80 practitioners
1 other NPI on this enrollment
Practice locations: Kaufman, TX; Mesquite, TX; Plano, TX; Rockwall, TX; The Colony, TX; Waxahachie, TX; Dallas, TX; Corsicana, TX…

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
Tax ID family
North Texas Behavioral Health Authority2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

319 N 12th St
Ste 6
Corsicana, TX 75110
Phone (214) 941-3500

4215 Gannon Ln
Dallas, TX 75237
Phone (972) 283-9090

9441 Lyndon B Johnson Fwy
Ste 350
Dallas, TX 75243
Phone (214) 344-9407

5300 University Hills Blvd
Dallas, TX 75241
Phone (214) 941-3500

8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407

2535 Lone Star Dr
Dallas, TX 75212
Phone (214) 467-9787

4216 Wesley St
Ste 101
Greenville, TX 75401
Phone (903) 886-2639

108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407

1201 Richardson Dr
Ste 270
Richardson, TX 75080

761 Justin Rd
Ste C
Rockwall, TX 75087

5201 S Colony Blvd
Ste 545
The Colony, TX 75056
Phone (214) 469-1911

512 W Main St
Waxahachie, TX 75165
Phone (214) 845-0622

Practitioners & affiliated clinicians

Practitioners 90

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

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1457720120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511322",
            "telephone_number": "469-845-9857",
            "fax_number": "469-972-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 LYNDON B JOHNSON FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511322",
            "telephone_number": "214-366-9407",
            "fax_number": "214-366-9417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 S Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Kaufman",
            "state": "TX",
            "postal_code": "751421928",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 S Colony Blvd Ste 545",
            "address_purpose": "LOCATION",
            "city": "The Colony",
            "state": "TX",
            "postal_code": "750562365",
            "country_code": "US",
            "telephone_number": "214-469-1911",
            "fax_number": "469-589-4976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 N 12th St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751104604",
            "country_code": "US",
            "telephone_number": "214-941-3500",
            "fax_number": "469-589-4976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2535 Lone Star Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752126313",
            "country_code": "US",
            "telephone_number": "214-941-3500",
            "fax_number": "469-589-4976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 University Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752411219",
            "country_code": "US",
            "telephone_number": "214-941-3500",
            "fax_number": "214-389-1084",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 W Grove St",
            "address_purpose": "LOCATION",
            "city": "Kaufman",
            "state": "TX",
            "postal_code": "751422033",
            "country_code": "US",
            "telephone_number": "972-283-9090",
            "fax_number": "972-499-0367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3001 Al Lipscomb Way",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752151702",
            "country_code": "US",
            "telephone_number": "972-283-9090",
            "fax_number": "972-499-0367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4215 Gannon Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752372914",
            "country_code": "US",
            "telephone_number": "972-283-9090",
            "fax_number": "972-499-0367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "120 W Main St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751494224",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752084523",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4031 W Plano Pkwy Ste 211",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935627",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "972-526-5524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1505 W Jefferson St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751652200",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "972-935-9804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 N 12th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751104604",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4216 Wesley St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "TX",
            "postal_code": "754015638",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "761 Justin Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750874877",
            "country_code": "US",
            "telephone_number": "214-351-3490",
            "fax_number": "844-269-6369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "LUCKY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-299-9373",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DUNS NUMBER",
            "identifier": "011556147",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.