Organization Active NPI

Alpha 180 LLC

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
National Provider Identifier
1639670169
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
ALPHA 180 LLC
Practice address
2416 S Lamar Blvd Ste a
Austin, TX 78704-4709
Phone
(919) 606-7392
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Nicolaas Doorn
Title
Director of Recovery Services
Phone
(919) 606-7392

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

2416 S Lamar Blvd Ste a
Austin, TX 78704-4709

Mailing address

2416 S Lamar Blvd Ste a
Austin, TX 78704-4709

Other practice location 1

1904 Nueces St
Austin, TX 78705-5537
Phone (919) 606-7392

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2156660Alpha 180, LLC1904 Nueces Street, Austin, TX 78705Certificate of waiverOct 22, 2026

National Provider Directory

National Provider Directory

Locations

2416 S Lamar Blvd
Ste A
Austin, TX 78704
Phone (919) 606-7392

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1639670169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 S LAMAR BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 S LAMAR BLVD STE A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787044709",
            "telephone_number": "919-606-7392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Nueces St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787055537",
            "country_code": "US",
            "telephone_number": "919-606-7392",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALPHA 180 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "DOORN",
        "authorized_official_first_name": "NICOLAAS",
        "authorized_official_title_or_position": "DIRECTOR OF RECOVERY SERVICES",
        "authorized_official_telephone_number": "919-606-7392"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.