West Texas Counseling & Rehabilitation Program of Temple, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

WEST TEXAS COUNSELING & REHABILITATION PROGRAM OF TEMPLE, INC.

Practice address

2610 Exchange PLZ
Temple, TX 76504-7033

Phone

(254) 742-0490

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ivan Garcia, MDNPI 1649596974

Title

President

Phone

(254) 742-0490

Specialties & licenses 2

Addresses

Other names 1

• WTCR Temple, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Locations

Practitioners 1

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

• Ivan F Garcia, M.D.

  • Internal Medicine Physician
  • Falls Church, VA
  • NPI 1649596974
  NPD Authorized official

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1336270446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303249",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 EXCHANGE PLZ",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765047033",
            "telephone_number": "254-742-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS COUNSELING & REHABILITATION PROGRAM OF TEMPLE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-742-0490",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WTCR Temple, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WTCR Temple, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lafonda Monae Wells, RN, MSN, FNP-C
• Wellspring Medical Supply Inc.
• Jianyan Wen, M.B.B.S.; PH.D.
• David Wenkert, M.D.
• West Temple Orthodontics
• Tore Ulf Westblom, M.D.
• Western Hills SCC LLC
• Weston Inn SCC LLC
• Regan Michelle Weston, PHD, BCBA-D, LBA
• Thomas James Westwick, M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Temple, TX
• Providers in Temple, 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 Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.