164 Counseling Services

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3775-3776 Issued in TX

Legal business name

164 COUNSELING SERVICES

Practice address

701 NE 5TH St
Suite a
Hubbard, TX 76648-2203

Phone

(254) 576-1040

NPI assigned

Sep 11, 2014

Organization subpart

No

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

Authorized official

Name

Mr. William W Porter

Title

Owner, Ceo

Phone

(214) 934-8844

Specialties & licenses 1

Addresses

Other names 1

• 164 Recovery Center Other name

Tax ID family

164 Counseling Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hubbard Recovery,LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hubbard, TX
  • NPI 1164828091
  NPD tax ID

Locations

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1154722908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5526 DYER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752065031",
            "telephone_number": "214-934-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NE 5TH ST",
            "address_2": "SUITE A",
            "city": "HUBBARD",
            "state": "TX",
            "postal_code": "766482203",
            "telephone_number": "254-576-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "164 COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "214-934-8844",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "3775-3776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "164 Recovery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kara Ashley Bragg, APRN, MSN, FNP-BC
• Stephanie Lynn Ethridge
• Julie Cernosek Freeman, DC
• Jason Graves
• GT Vaughans Pharmacy LLC

• All providers in Hubbard, TX
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.

Verify at the official NPI Registry.