North Texas Behavioral Health Authority

What North Texas Behavioral Health Authority does

North Texas Behavioral Health Authority (NTBHA) is a Texas state-designated Local Behavioral Health Authority (LBHA) and Certified Community Behavioral Health Clinic (CCBHC) contracted by the Texas Health and Human Services Commission (HHSC) and the County Commissioners Courts of Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties. The organization coordinates publicly funded behavioral health services across a six-county North Texas region, operating a contracted provider network of 32 mental health and substance use disorder providers at 41 locations and serving approximately 60,000 individuals annually regardless of ability to pay, place of residence, or experience of homelessness. Service delivery is structured around a 'no wrong door' model anchored by formal CCBHC partnerships with Child and Family Guidance Center, Homeward Bound, and Southern Area Behavioral Healthcare.

NTBHA's service portfolio spans the full continuum of behavioral health care: 24/7 crisis hotline and Mobile Crisis Outreach Teams (MCOT); three Living Room walk-in centers in Dallas (24/7), Ellis, and Kaufman Counties; Mental Health First Aid and Suicide Prevention training; outpatient, residential, and intensive services for mental health and substance use disorders; jail diversion and competency restoration; pharmacy services and a Prescription Assistance Program covering over 200 pharmacies; and case management, housing assistance, and benefits enrollment through a Consumer Benefits Organization. Specialized programs include Assertive Community Treatment (ACT), Forensic ACT (FACT), MultiSystemic Therapy (MST), Youth Crisis Outreach Team (YCOT), and Coordinated Specialty Care for first-episode psychosis. Operationally, NTBHA runs PIGEON (Provider Integration Gathering Eligibility ONline), a proprietary internal web-based platform used by funded clinics to document indigent behavioral health eligibility and generate Local Case Numbers.

NTBHA is a non-profit, government-affiliated public entity governed by a Board appointed by the six County Commissioners Courts, with composition scaled to county population. It does not generate commercial revenue; funding flows from HHSC state contracts, county appropriations, Medicaid/Medicare reimbursements, and a sliding-fee discount schedule published on its website. The organization's strategic positioning rests on its exclusive regulatory franchise plus its distribution density, with a comparatively lean central headcount (11-50 direct staff) because clinical delivery is delegated through the contracted provider network and CCBHC partners. Notable risks include a reported October 2025 data breach affecting 285,086 individuals — among the six largest U.S. healthcare breaches of 2026 — that has created ongoing regulatory and reputational exposure.

Name

North Texas Behavioral Health Authority

Legal name

North Texas Behavioral Health Authority

Website

https://ntbha.org

Company type

Private

Founded year

2019

Operating status

Operating

Headcount range

11–50 employees

Short description

NTBHA is the Texas state-designated Local Behavioral Health Authority and Certified Community Behavioral Health Clinic serving Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties. It coordinates publicly funded mental health and substance use services through 32 contracted providers at 41 locations, serving roughly 60,000 individuals annually regardless of ability to pay.

Ownership category

akta.pro rank

Product category

Community Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Residential Mental Health and Substance Abuse Facilities (62322), Individual and Family Services (6241)

SIC

Services-Health Services (8000), Services-Social Services (8300), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Community Mental Health Centers (CMHCs) & Public Behavioral Health Providers (HLAFACAI)

akta.pro secondary industries

Forensic & Correctional Behavioral Health Services (HLAFACAM), Substance Use Disorder Prevention & Recovery Services (BPAGACAE), Mental Health Counseling & Therapy Services (K–12) (EDAJALAG)

Keywords

• Behavioral health services
• Mental health treatment
• Substance use recovery
• Crisis intervention services
• Community behavioral health

Headquarters

HQ city

Dallas

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Others

Revenue model

1. Government Contracts & Public Funding: As a Local Behavioral Health Authority (LBHA), NTBHA is designated and contracted by the Texas Health and Human Services Commission (HHSC) and County Commissioners Courts. Revenue is derived from state and federal government contracts, HHSC funding, and county-level appropriations. Services are provided regardless of ability to pay using a sliding fee discount schedule.
2. Sliding Fee Discounts: NTBHA provides services to individuals regardless of ability to pay and offers sliding fee discounts for those facing financial hardship, per HHSC guidelines. Revenue is supplemented by insurance billings and government program reimbursements (Medicaid, Medicare).

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels7 records

Core offering

NTBHA is the state-designated Local Behavioral Health Authority (LBHA) and a Certified Community Behavioral Health Clinic (CCBHC) coordinating publicly funded mental health and substance use disorder services across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties in North Texas. Through a network of 32 contracted providers at 41 locations and direct CCBHC partnerships with Child and Family Guidance Center, Homeward Bound, and Southern Area Behavioral Healthcare, NTBHA delivers 24/7 crisis intervention, outpatient and residential treatment, pharmacy assistance, forensic and jail-diversion services, peer recovery, housing, and community Mental Health First Aid training to individuals regardless of ability to pay.

Product overview

North Texas Behavioral Health Authority (NTBHA) operates as a Certified Community Behavioral Health Clinic (CCBHC) providing a comprehensive portfolio of behavioral health services through a network of 32 providers at 41 locations across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties. The organization's service portfolio centers on Mental Health Services (clinic appointments, telehealth, counseling, crisis response, hospitalization), Substance Use Recovery Services (OSAR, outpatient, residential, MAT), and Crisis Services (24/7 hotline, MCOT, Drop-Off Centers, Living Rooms). Additional offerings include Suicide Prevention/Postvention, Pharmacy Services with Prescription Assistance, Mental Health First Aid Training, Youth Crisis Outreach Teams, Forensic Services, Competency Restoration, Housing Programs, and Consumer Benefits Assistance. NTBHA utilizes an internal web-based platform called PIGEON for eligibility management and partners with Child and Family Guidance Center, Homeward Bound, and Southern Area Behavioral Healthcare to ensure a 'no wrong door' approach to service delivery.

Differentiator

Problem solved

Functional benefit

Products and services

• Mental Health Services Community-based mental health services offering a continuum of care including education about behavioral health conditions, peer-to-peer support, clinic appointments, walk-in visits, after-hours clinics, telehealth, counseling, prescription medications, respite care, residential treatment, crisis hotline, mobile crisis outreach teams, suicide prevention, emergency services, hospitalization, and hospital step-down support. Available to children and adults age 3 and throughout the lifespan across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties regardless of ability to pay.
• Substance Use Recovery Services Comprehensive substance use treatment including Outreach Screening Assessment and Referral (OSAR), Peer-to-Peer Recovery Support, Outpatient Services (Ambulatory Withdrawal Management, Intensive Outpatient, Medications for Opioid Use Disorder), Residential Services (Withdrawal Management, Detoxification, Intensive Residential), Crisis Residential, and Community Education and Training on substances and naloxone administration. Available across the six-county region.
• Crisis Services 24/7 Crisis Hotline (866-260-8000 / 844-672-5700), Mobile Crisis Outreach Teams (MCOT) for face-to-face crisis response, Drop-Off Centers for Law Enforcement in Dallas, Ellis, and Kaufman Counties, services to people in jail, hospitalization coordination, and After-Hours Services through Southern Area Behavioral Healthcare. Available across the six-county region.
• Suicide Prevention and Postvention Crisis hotline access, MCOT response, 988 Lifeline coordination, Suicide Prevention Advisory Council (SPAC), Local Outreach to Suicide Survivors (LOSS) Team, community education, and bereavement services across the six-county region.
• Pharmacy Services and Prescription Assistance Program (PAP) NTBHA pays for medications prescribed by physicians in its network through over 200 pharmacies in the six-county region. PAP arranges access to medications donated by pharmaceutical manufacturers for qualifying individuals.
• Provider Network Network of 32 providers at 41 locations across Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties offering Mental Health and Substance Use Disorder services with choice of providers for eligible individuals.
• Living Rooms (Walk-In / Drop-Off Centers) Walk-in facilities offering connection to mental health providers, urgent psychiatric medication refills, psychiatric assessment, substance use screening, assistance with state and federal benefits, and connection to Peer Recovery Specialists. Locations include the Dallas County Living Room / The Deflection Center at Homeward Bound (24/7), Ellis Living Room, and Kaufman Living Room.
• Assertive Community Treatment (ACT) Services helping individuals live independently by finding jobs or homes, learning about medications, connecting with doctors, developing activities, strengthening relationships, and accessing local services.
• MultiSystemic Therapy (MST) Evidence-based intervention for youth at high-risk for out-of-home placement due to mental health needs, juvenile justice involvement, or substance use, working with youth and their support systems across home, family, peers, school, and community.
• Youth Crisis Outreach Team (YCOT) Mental health crisis stabilizing resource for youth and families providing developmentally appropriate interventions, de-escalation, and up to 90 days of follow-up services to reduce emergency room visits and law enforcement involvement.
• Forensic Assertive Community Treatment (FACT) Service delivery model for individuals with serious mental illness involved with the criminal justice system, coordinating care during custody and outpatient behavioral health services upon release.
• Mental Health First Aid Training Free evidence-based training courses including Adult Mental Health First Aid, Youth Mental Health First Aid, Suicide Prevention, Opioid Overdose Reversal, and substance use education. Last year trained approximately 8,500 people in the six-county region. Classes are free for Texas residents and registered via Eventbrite.
• Consumer Benefits Organization (CBO) Assists NTBHA-funded clients with applications for CHIP, Medicare Savings Programs, SSDI, SSI, SNAP, TANF, Texas Medicaid, and other benefit programs.
• Coordinated Specialty Care (CSC) First Episode of Psychosis program providing up to three years of outpatient treatment including psychotherapy, family education, peer support, psychiatric medications, and employment and education support for people ages 15-30.
• Competency Restoration Services Outpatient and jail-based competency restoration for individuals found incompetent to stand trial, designed to reduce forensic waitlist and increase access to appropriate services.
• Healthy Community Collaborative State-funded grant program providing emergency shelter, rental assistance, utility payments, shelter diversion, furniture, and deposits for individuals with mental health and/or substance use disorders in Hunt and Navarro Counties.
• Housing Programs Housing assistance programs for qualified individuals meeting grant-specified criteria, with review of all funding options and connections to appropriate services across the six-county region.

Quantifiable outcome

• Served 60,000 people annually across six counties
• +2 more outcomes

Named customers1 record

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Seven partnerships are on record, tiered minor and core.

• UT Southwestern Medical CenterminorStrategic or Co-development Partner · 10 February 2026Dr. Abhisek Khandai, MD, FAPA of UT Southwestern Medical Center, presented to NTBHA's Adult Clinical Operations Team (ACOT) on maternal mental health during pregnancy, postpartum depression, and the 'Baby Blues.' Dr. Khandai is a founding psychiatrist of Texas Perinatal Psychiatry Access Network (PeriPAN), part of the Texas Child Mental Health Care Consortium.
• Child and Family Guidance CentercoreStrategic or Co-development PartnerNTBHA partners with Child and Family Guidance Center as part of its Certified Community Behavioral Health Clinic (CCBHC) model, which ensures a 'no wrong door' approach to providing accessible, high-quality, recovery-oriented mental and behavioral health services for individuals of all ages regardless of ability to pay. The CCBHC partnership is a formal, contract-based collaboration required by HHSC for CCBHC designation.
• Homeward BoundcoreStrategic or Co-development PartnerNTBHA partners with Homeward Bound as part of its Certified Community Behavioral Health Clinic (CCBHC) model. Homeward Bound operates the Dallas County Drop-Off Center (The Deflection Center) open 24/7 and provides crisis respite, detoxification, medication-assisted treatment, outpatient services, residential units, and specialized intensive care.
• Southern Area Behavioral HealthcarecoreStrategic or Co-development PartnerNTBHA partners with Southern Area Behavioral Healthcare as part of its Certified Community Behavioral Health Clinic (CCBHC) model. Southern Area Behavioral Healthcare provides after-hours behavioral health clinic services for NTBHA consumers who need evening or weekend appointments to avoid a crisis.
• Texas Health and Human Services Commission (HHSC)coreStrategic or Co-development PartnerNTBHA is designated and contracted by the Texas Health and Human Services Commission (HHSC) as the Local Behavioral Health Authority (LBHA) for Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall Counties. This government contract defines NTBHA's mandate to provide a timely, clinically appropriate continuum of mental health and substance use disorder services. Governed by Texas statutes including Texas Health and Safety Code 533.035 and 461A Subchapter C.
• County Commissioners Courts (Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall)coreStrategic or Co-development PartnerNTBHA's Board of Directors is appointed by the County Commissioners Courts of the six counties it serves. The number of board members is based on county population. County-level governance ensures local accountability and oversight of behavioral health services.
• Texas Perinatal Psychiatry Access Network (PeriPAN) / Texas Child Mental Health Care ConsortiumminorStrategic or Co-development PartnerNTBHA participates in PeriPAN, a network of the Texas Child Mental Health Care Consortium, which provides access to perinatal psychiatry consultations for pregnant and postpartum individuals with mental health needs. Dr. Khandai of UT Southwestern is a founding psychiatrist of PeriPAN.

Scale indicators5 records

Recent moves6 records

Expansion highlights7 records

Direct peers

• The Harris Center for Mental Health and IDD: The Local Behavioral Health Authority and IDD authority for Harris County (Houston), Texas. Operates a comparable CCBHC-aligned model, crisis services, and large provider network serving a major Texas metro — the closest structural analog to NTBHA at larger scale.
• Austin Travis County Integral Care (ATCIC): Designated LBHA for Travis County, providing mental health, substance use, and intellectual/developmental disability services under the same Texas HHSC framework as NTBHA, with CCBHC designation and comparable crisis hotline and clinic operations.
• Tarrant County MHMR (My Health My Resources of Tarrant County): LBHA for Tarrant County (Fort Worth), directly adjacent to NTBHA's Dallas County territory. Offers a near-identical service portfolio — outpatient mental health, SUD, crisis, competency restoration, and CCBHC-aligned operations — and is a natural regional comparison.
• Helen Farabee Centers: LBHA serving a multi-county region in North and West Texas. Comparable in scale and rural-county mix to NTBHA's non-Dallas counties (Ellis, Hunt, Kaufman, Navarro, Rockwall), with similar CCBHC, crisis, and SUD service lines.
• Burke Center: LBHA covering a multi-county East Texas service area. Operates a comparable community-based behavioral health and IDD service mix, including 24/7 crisis, outpatient, and residential programs aligned with the same Texas Health and Safety Code framework.
• Spindletop Center: LBHA for Jefferson and surrounding Southeast Texas counties. Comparable multi-county regional LBHA operating crisis hotline, MCOT, outpatient mental health, and SUD services under the same HHSC contracting model as NTBHA.
• Tri-County Behavioral Healthcare: LBHA serving Liberty, Chambers, and Walker Counties in Texas. Provides a similar scope of community mental health, SUD, crisis, and IDD services, representing a smaller-scale but structurally identical LBHA peer.
• Center for Life Resources: LBHA for a multi-county region in West-Central Texas. Comparable in operating scale, rural-county composition, and service mix to NTBHA's smaller outlying counties.

Others

• Texas Council of Community Centers: Statewide association representing the 39 Texas community mental health and IDD centers (including all LBHA-designated authorities). NTBHA is implicitly a member and subject to its advocacy, training, and policy alignment — a natural ecosystem peer at the trade-body level.

Broad incumbents

• ValueOptions (now Evernorth Behavioral Health / Carelon Behavioral Health): National Managed Behavioral Health Organization (MBHO) administering behavioral health benefits and provider networks. While a private commercial entity, it is a structural counterpart to the LBHA role NTBHA fulfills in the public sector and increasingly partners with public systems on CCBHC and crisis contracts.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/NTBHA6
• Facebookfacebook.com/NTBHA6
• LinkedInlinkedin.com/company/ntbha6/?viewAsMember=true

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 records

Subsidiaries3 records

Funding overview

Funding rounds

Investors

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M&A

Investments

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Frequently asked questions about North Texas Behavioral Health Authority