Organization Active NPI

TR Health Group

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
National Provider Identifier
1225425705
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
TR HEALTH GROUP
Doing business as
Innovation 360
Practice address
6600 LBJ Fwy
Suite 240
Dallas, TX 75240-6514
Phone
(626) 427-2477
Fax
(626) 427-2477
NPI assigned
Apr 22, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Authorized official

Name
Mr. Kevin Gilliland, PSY. D
Title
Executive Director
Phone
(626) 427-2477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X TX Primary

Addresses

Primary practice location

6600 LBJ Fwy
Suite 240
Dallas, TX 75240-6514

Mailing address

6600 LBJ Fwy
Suite 240
Dallas, TX 75240-6514
Phone (626) 427-2477

Other names 1

  • Innovation 360 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1225425705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 LBJ FWY",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406514",
            "telephone_number": "626-427-2477",
            "fax_number": "626-427-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 LBJ FWY",
            "address_2": "SUITE 240",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406514",
            "telephone_number": "626-427-2477",
            "fax_number": "626-427-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TR HEALTH GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-427-2477",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSY. D"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innovation 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.