Active NPI
Bill Charalambopoulos, LCDC
- Addiction (Substance Use Disorder) Counselor
- Richardson, TX
National Provider Identifier
1093213472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14259
- Practice address
- 2011 N Collins Blvd Ste 601a
Richardson, TX 75080-2645 - Phone
- (214) 597-7574
- NPI assigned
- Jan 31, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14259 | TX | Primary |
Addresses
Primary practice location
2011 N Collins Blvd Ste 601a
Richardson, TX 75080-2645
Mailing address
2011 N Collins Blvd Ste 601a
Richardson, TX 75080-2645
Phone (214) 597-7574
Other practice location 1
5932 Burgundy Rd
Dalas, TX 75230
Phone (214) 597-7574
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14259 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1093213472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 N COLLINS BLVD STE 601A",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802645",
"telephone_number": "214-597-7574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 N COLLINS BLVD STE 601A",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802645",
"telephone_number": "214-597-7574"
}
],
"practiceLocations": [
{
"address_1": "5932 Burgundy Rd",
"address_purpose": "LOCATION",
"city": "Dalas",
"state": "TX",
"postal_code": "75230",
"country_code": "US",
"telephone_number": "214-597-7574",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHARALAMBOPOULOS",
"first_name": "BILL",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-31",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.