Active NPI
Behavioral Health Group
- Community/Behavioral Health Agency
- Lake Dallas, TX
National Provider Identifier
1871783480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 10828
- Legal business name
- BEHAVIORAL HEALTH GROUP
- Practice address
- 209 Woody TRL
Lake Dallas, TX 75065-3125 - Phone
- (214) 632-1575
- Fax
- (940) 497-0674
- NPI assigned
- Jul 30, 2007
- 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
- Mrs. Jean Bell Williams, M.ED
- Title
- Clinical Director
- Phone
- (214) 632-1575
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 10828 | TX | Primary |
Addresses
Primary practice location
209 Woody TRL
Lake Dallas, TX 75065-3125
Mailing address
209 Woody TRL
Lake Dallas, TX 75065-3125
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LP0007914 | Medicaid | TX |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 2
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Addiction (Substance Use Disorder) Counselor
- Denison, TX
- NPI 1386805950
-
- Addiction (Substance Use Disorder) Counselor
- Wichita Falls, TX
- NPI 1528229192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186617600000",
"number": "1871783480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 WOODY TRL",
"city": "LAKE DALLAS",
"state": "TX",
"postal_code": "750653125",
"fax_number": "940-497-0674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 WOODY TRL",
"city": "LAKE DALLAS",
"state": "TX",
"postal_code": "750653125",
"telephone_number": "214-632-1575",
"fax_number": "940-497-0674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEHAVIORAL HEALTH GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-30",
"last_updated": "2007-08-09",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "BELL",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "214-632-1575",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.ED"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "TX",
"license": "10828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LP0007914",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.