Active NPI
North Texas Behavioral Health Authority
- Psychiatry Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- 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
- Last updated
- Jun 12, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Peer Specialist | 175T00000X | |||
| Psychiatry Physician | 2084P0800X | Primary | ||
| Child & Adolescent Psychiatry Physician | 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 Practitioner | 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
761 Justin Rd Ste C
Rockwall, TX 75087-4877
Phone (214) 351-3490
Other practice location 10
120 W Main St Ste 220
Mesquite, TX 75149-4224
Phone (214) 351-3490
Other practice location 11
210 W 10th St
Dallas, TX 75208-4523
Phone (214) 351-3490
Other practice location 12
4031 W Plano Pkwy Ste 211
Plano, TX 75093-5627
Phone (214) 351-3490
Other practice location 13
1505 W Jefferson St Ste 120
Waxahachie, TX 75165-2200
Phone (214) 351-3490
Other practice location 14
319 N 12th St Ste 1
Corsicana, TX 75110-4604
Phone (214) 351-3490
Other practice location 15
4216 Wesley St Ste 101
Greenville, TX 75401-5638
Phone (214) 351-3490
Other practice location 16
8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (214) 351-3490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Community/Behavioral Health Agency
- Dallas, TX
- NPI 1407488463
O20200629001278
National Provider Directory
National Provider Directory- Tax ID family
- North Texas Behavioral Health Authority
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Dallas, TX
- NPI 1275153793
Locations
319 N 12th St
Ste 1
Corsicana, TX 75110
Phone (877) 872-1003
319 N 12th St
Ste 6
Corsicana, TX 75110
Phone (214) 941-3500
8111 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75251
Phone (214) 366-9407
108 W Grove St
Kaufman, TX 75142
Phone (214) 366-9407
4031 W Plano Pkwy
Ste 211
Plano, TX 75093
Phone (972) 369-8990
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 92
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesquite, TX
- NPI 1740655406
-
- Psychiatric/Mental Health Nurse Practitioner
- Mesquite, TX
- NPI 1013892512
-
- Psychiatric/Mental Health Nurse Practitioner
- Rockwall, TX
- NPI 1124774500
-
- Psychiatry Physician
- Plano, TX
- NPI 1982612040
-
- Nurse Practitioner
- Duncanville, TX
- NPI 1033955521
Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Dallas, TX
- NPI 1932623964
-
- Psychiatric/Mental Health Nurse Practitioner
- Plano, TX
- NPI 1609384197
Single Specialty
-
- Psychiatric/Mental Health Nurse Practitioner
- Plano, TX
- NPI 1386425759
-
- Psychiatric/Mental Health Nurse Practitioner
- Marysville, WA
- NPI 1053073114
TX
-
- Child & Adolescent Psychiatry Physician
- Vernon, TX
- NPI 1437378999
-
- Psychiatry Physician
- Sugar Land, TX
- NPI 1013180793
-
- Psychiatric/Mental Health Nurse Practitioner
- Garland, TX
- NPI 1528841665
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": "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"
},
{
"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"
}
],
"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": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- North Star MCD, LLC (North Star Diagnostic)
- North Texas Access LLC (Next Day Access)
- North Texas Anesthesia Consultants, PA
- North Texas Behavioral Health Authority
- North Texas Behavioral Health Authority
- North Texas Cardiovascular Assoc
- North Texas Center for Rheumatology
- North Texas Cin, Inc. (Txcin)
- North Texas Colon & Rectal Associates PA
- North Texas Critical Care PA
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.