Organization Active NPI

Alpha Behavioral Health Services

  • Addiction (Substance Use Disorder) Counselor
  • Odessa, TX
National Provider Identifier
1578838181
Registry record updated Oct 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11270 Issued in TX
Legal business name
ALPHA BEHAVIORAL HEALTH SERVICES
Practice address
855 Central Dr Ste 31B
Odessa, TX 79761-4246
Phone
(432) 614-5720
Fax
(877) 729-4033
NPI assigned
Mar 14, 2012
Last updated
Oct 30, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2017

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

Authorized official

Name
Misty Locknane, BS, LCDC, CCS, CINPI 1508157322
Title
Owner
Phone
(432) 614-5720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11270 TX Primary

Addresses

Primary practice location

855 Central Dr Ste 31B
Odessa, TX 79761-4246

Mailing address

855 Central Dr Ste 31B
Odessa, TX 79761-4246
Phone (432) 614-5720

National Provider Directory

National Provider Directory

Locations

855 Central Dr
Ste 31B
Odessa, TX 79761
Phone (432) 550-9208

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1578838181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 CENTRAL DR STE 31B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614246",
            "telephone_number": "432-614-5720",
            "fax_number": "877-729-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CENTRAL DR STE 31B",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614246",
            "telephone_number": "432-614-5720",
            "fax_number": "877-729-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "LOCKNANE",
        "authorized_official_first_name": "MISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-614-5720",
        "authorized_official_credential": "BS, LCDC, CCS, CI"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.