NPIMap

Organization Active NPI

Metrocare

  • Community/Behavioral Health Agency
  • Dallas, TX
National Provider Identifier
1699021089
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
15910 Issued in TX
Legal business name
METROCARE
Practice address
3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone
(214) 371-0474
Fax
(214) 371-3933
NPI assigned
Aug 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Mrs. Lazane Sherilyn Walls, LPC, LCDC, ADC-III,
Title
Clinical Manager III
Phone
(972) 861-5917

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15910 TX Primary
Community/Behavioral Health Agency 251S00000X 8802 TX

Addresses

Primary practice location

3330 S Lancaster Rd
Dallas, TX 75216-4531

Mailing address

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (214) 371-0474

Other identifiers 1

IdentifierTypeStateIssuer
0291080-03MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Dallas County MHMR32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Practitioners & affiliated clinicians

Practitioners 1

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": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1699021089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-371-0474",
            "fax_number": "214-371-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 S LANCASTER RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752164531",
            "telephone_number": "214-371-0474",
            "fax_number": "214-371-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "LAZANE",
        "authorized_official_middle_name": "SHERILYN",
        "authorized_official_title_or_position": "CLINICAL MANAGER III",
        "authorized_official_telephone_number": "972-861-5917",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LCDC, ADC-III,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "15910",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "8802",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0291080-03",
            "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 Aug 3, 2012; 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.