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
- Last updated
- 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, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Odessa, TX
- NPI 1356116008
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 Oral Surgery)
- Permian Basin Radiology, LLC
- Permian Basin Rehabilitation Center
- Permian Basin Rehabilitation Center for Crippled Children and Adults
- Permian Endoscopy Center
- Permian ER III, LLC. (Excel ER - Odessa)
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.