NPIMap

Organization Active NPI

Lubbock Independent School District

Doing business as Lisd Eci Debt Program

  • Developmental Disabilities Clinic/Center
  • Lubbock, TX
National Provider Identifier
1669543401
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
LUBBOCK INDEPENDENT SCHOOL DISTRICT
Doing business as
Lisd Eci Debt Program
Practice address
1628 19TH St
Lubbock, TX 79401-4832
Phone
(806) 219-0500
Fax
(806) 766-1286
NPI assigned
Nov 13, 2006
Last updated
Jul 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Bryan Sessom
Title
Director
Phone
(806) 219-0500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

1628 19TH St
Lubbock, TX 79401-4832

Mailing address

1628 19TH St
Lubbock, TX 79401-4832
Phone (806) 219-0500

Other identifiers 1

IdentifierTypeStateIssuer
017422901MedicaidTX

Other names 1

  • LISD ECI DEBT PROGRAM Doing business as

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
45D2269553Lubbock Independent School District1628 19TH Street, Suite 220, Lubbock, TX 79401Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lisd Eci Debt Program2 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

1628 19th St
Lubbock, TX 79401
Phone (806) 219-0500

Practitioners & affiliated clinicians

Practitioners 126

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.

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1669543401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014832",
            "telephone_number": "806-219-0500",
            "fax_number": "806-766-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 19TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014832",
            "telephone_number": "806-219-0500",
            "fax_number": "806-766-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK INDEPENDENT SCHOOL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "SESSOM",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "806-219-0500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017422901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISD ECI DEBT PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.