Active NPI
TR Health Group
- Addiction (Substance Use Disorder) Counselor
- Dallas, TX
National Provider Identifier
1225425705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
National Provider Directory
National Provider DirectoryNPI 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.