Active NPI
Permian Basin Practice Exchange
- Mental Health Counselor
- Odessa, TX
National Provider Identifier
1720940976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PERMIAN BASIN PRACTICE EXCHANGE
- Practice address
- 850 Tower Dr Ste 106
Odessa, TX 79761-4252 - Phone
- (432) 530-6452
- NPI assigned
- Nov 25, 2025
- 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
- Andrea Lewis, LPC
- Title
- Owner
- Phone
- (432) 530-6452
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
850 Tower Dr Ste 106
Odessa, TX 79761-4252
Mailing address
850 Tower Dr Ste 106
Odessa, TX 79761-4252
Phone (432) 530-6452
National Provider Directory
National Provider DirectoryPractitioners & 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": "1764028800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764028800000",
"number": "1720940976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 TOWER DR STE 106",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614252",
"telephone_number": "432-530-6452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 TOWER DR STE 106",
"city": "ODESSA",
"state": "TX",
"postal_code": "797614252",
"telephone_number": "432-530-6452"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERMIAN BASIN PRACTICE EXCHANGE",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "432-530-6452",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Odessa, TX
- Permian Basin Community Centers for MHMR
- Permian Basin Dental Group
- Permian Basin DME
- Permian Basin Kidney Center Inc
- Permian Basin Oral Surgery & Dental Implant Center
- Permian Basin Radiology, LLC
- Permian Basin Rehabilitation Center
- Permian Basin Rehabilitation Center for Crippled Children and Adults
- Permian Endoscopy Center
- Permian ER III, LLC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.