Active NPI
Recovery Council of Southeast Texas
- Substance Use Disorder Rehabilitation Clinic/Center
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- 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, 2023
- 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
- Carrie Arriete
- Title
- Director of Business Operations
- Phone
- (409) 842-2408
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214802501 | Medicaid | TX | |
| 205935402 | Medicaid | TX | |
| 218017601 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | taardahl@setcada.org | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2233064 | Recovery Council of Southeast Texas | Certificate of waiver | Aug 18, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Beaumont, TX
- NPI 1053052597
-
- Addiction (Substance Use Disorder) Counselor
- Beaumont, TX
- NPI 1871871772
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.