Organization Active NPI

Recovery Council of Southeast Texas

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Beaumont, TX
National Provider Identifier
1073729810
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
RECOVERY COUNCIL OF SOUTHEAST TEXAS
Practice address
4675 Washington Blvd Ste C
Beaumont, TX 77707-4321
Phone
(409) 842-2408
Fax
(409) 842-2462
NPI assigned
May 16, 2007
Last updated
Jul 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carrie Arriete
Title
Director of Business Operations
Phone
(409) 842-2408

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 149-149H TX
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 149-149F TX
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

4675 Washington Blvd Ste C
Beaumont, TX 77707-4321

Mailing address

4675 Washington Blvd Ste C
Beaumont, TX 77707-4321
Phone (409) 842-2408

Other practice location 1

3212 Concord St Ste C
Orange, TX 77630-2981
Phone (409) 670-9524

Other practice location 2

4673 Washington Blvd
Beaumont, TX 77707-4330
Phone (409) 840-9350

Other identifiers 3

IdentifierTypeStateIssuer
214802501MedicaidTX
205935402MedicaidTX
218017601MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address taardahl@setcada.org Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2233064Recovery Council of Southeast Texas4673 Washington Blvd, Beaumont, TX 77707Certificate of waiverAug 18, 2027

National Provider Directory

National Provider Directory

Locations

4673 Washington Blvd
Beaumont, TX 77707
Phone (409) 840-9350

4675 Washington Blvd
Ste C
Beaumont, TX 77707
Phone (409) 842-2408

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1073729810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 WASHINGTON BLVD STE C",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074321",
            "telephone_number": "409-842-2408",
            "fax_number": "409-842-2462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 WASHINGTON BLVD STE C",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777074321",
            "telephone_number": "409-842-2408",
            "fax_number": "409-842-2462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3212 Concord St Ste C",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "TX",
            "postal_code": "776302981",
            "country_code": "US",
            "telephone_number": "409-670-9524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4673 Washington Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777074330",
            "country_code": "US",
            "telephone_number": "409-840-9350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERY COUNCIL OF SOUTHEAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "ARRIETE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "409-842-2408"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "149-149H",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "149-149F",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "214802501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205935402",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "218017601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taardahl@setcada.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4675 Washington Blvd Ste C",
            "city": "Beaumont",
            "state": "TX",
            "country_code": "US",
            "postal_code": "777074321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.