Slade Gabriel Hogan

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

3553 W Houston Harte Expy
San Angelo, TX 76901-2664

Phone

(325) 224-3481

NPI assigned

Aug 20, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alcohol & Drug Abuse Council for the Concho Valley

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Angelo, TX
  • NPI 1093031148
  NPD (past)
• Alcohol and Drug Abuse Council for the Concho Valley

  • Substance Abuse Rehabilitation Facility
  • San Angelo, TX
  • NPI 1053867267
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1265912166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3553 W HOUSTON HARTE EXPY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769012664",
            "telephone_number": "325-224-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3553 W HOUSTON HARTE EXPY",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769012664",
            "telephone_number": "325-224-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "SLADE",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott David Hodge, MD
• Ralph Gail Hodges, M.D.
• Jennifer Lynn Hoelscher, RPH
• Robbi Cunningham Hoelscher, OT
• Randall Garth Hoeppner, CRNA-CRNP-FNP
• Melissa L Hogg, FNP-C
• Layden Hogue
• Melissa P Hohensee, PNP
• Shandie Holberg
• Kimberly Ann Holcomb, RN BSN

• Addiction (Substance Use Disorder) Counselor in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.

Verify at the official NPI Registry.