Phoenix Houses of Texas, Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

865-3729 Issued in TX

Legal business name

PHOENIX HOUSES OF TEXAS, INC

Practice address

211 Commerce Blvd
Suite 107
Round Rock, TX 78664-2184

Phone

(512) 541-6097

NPI assigned

Jun 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. Bart R Loewen

Title

President & Ceo

Phone

(214) 920-1628

Specialties & licenses 5

Addresses

Other identifiers 5

Tax ID family

Phoenix Houses of Texas Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Phoenix Houses of Texas, Inc

  • Multi-Specialty Clinic/Center
  • Dallas, TX
  • NPI 1508992249
  NPD tax ID
• Phoenix Houses of Texas, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Antonio, TX
  • NPI 1639636335
  NPD tax ID
• Phoenix Houses of Texas, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Houston, TX
  • NPI 1265782791
  NPD tax ID

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caroline Albritton, LCDC, LPC-INTERN

  • Professional Counselor
  • Dallas, TX
  • NPI 1821405135
  NPD (past)
• Kelly Garrett Aubry, LPC

  • Professional Counselor
  • Buda, TX
  • NPI 1174930267
  NPD (past)
• Christina Nicole Brown, R.N.

  • Registered Nurse
  • Dallas, TX
  • NPI 1891139416
  NPD (past)
• Stefanie Kutra

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
  • NPI 1033526199
  NPD (past)
• Meredith Mullens Meurer, LPC-S, LCDC

  • Mental Health Counselor
  • San Marcos, TX
  • NPI 1629481239
  NPD (past)
• Alexandria Tijerina, RN

  • Registered Nurse
  • Dallas, TX
  • NPI 1053023168
  NPD (past)
• Carolyn Caple Watson, L.C.S.W

  • Clinical Social Worker
  • Plano, TX
  • NPI 1659788073
  NPD (past)
• Olivia D Wedel, M.ED.

  • Addiction (Substance Use Disorder) Counselor
  • Dallas, TX
  • NPI 1356758718
  NPD (past)

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

{
    "created_epoch": "1402444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1306259932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE STE 10500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752014591",
            "telephone_number": "214-920-1628",
            "fax_number": "214-351-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 COMMERCE BLVD",
            "address_2": "SUITE 107",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786642184",
            "telephone_number": "512-541-6097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Garden Oaks Blvd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770185505",
            "country_code": "US",
            "telephone_number": "713-426-2637",
            "fax_number": "713-862-1849",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Reagan St",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193225",
            "country_code": "US",
            "telephone_number": "214-999-1044",
            "fax_number": "214-526-3285",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Live Oak St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78704",
            "country_code": "US",
            "telephone_number": "512-440-0613",
            "fax_number": "512-440-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX HOUSES OF TEXAS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-11",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "LOEWEN",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "214-920-1628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "865-865M",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "TX",
            "license": "865-865P",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "865-3729",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "865-3572",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "TX",
            "license": "865-3340",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335999401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "065459201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170251601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "319371601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330736501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April L Phillips, LCSW
• Ryann Phillips Phillips
• Salome Kilande Phine, NP
• Evan Olivia Phipps, FNP- C
• Summer Phipps, DC
• Angelica Picado-Sinclair
• Anna K Picard, NP
• Anthony Picaso, RBT
• David Piel
• Sandra Kay Pierce, PA-C

• Substance Use Disorder Rehabilitation Clinic/Center in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.