Active NPI
Rios Waddleton
- Professional Counselor
- Midland, TX
National Provider Identifier
1003238726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68016
- Practice address
- 2404 W Golf Course Rd
Midland, TX 79701-3944 - Phone
- (432) 528-8595
- NPI assigned
- Jan 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 68616 | TX | |
| Professional Counselor | 101YP2500X | 68016 | TX | Primary |
Addresses
Primary practice location
2404 W Golf Course Rd
Midland, TX 79701-3944
Mailing address
2404 W Golf Course Rd
Midland, TX 79701-3944
Phone (432) 528-8595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68616 | TX | MD | Mental Health Counselor |
| 68016 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Starting Point Solutions | Past | Accepting new patients | |
| High Sky Children'S Ranch, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Odessa, TX
- NPI 1205327863
-
- Foster Care Agency
- Midland, TX
- NPI 1114273356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1003238726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2404 W GOLF COURSE RD",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013944",
"telephone_number": "432-528-8595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 W GOLF COURSE RD",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797013944",
"telephone_number": "432-528-8595"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADDLETON",
"first_name": "RIOS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "68616",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.