Organization Active NPI

Bay Area Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Dickinson, TX
National Provider Identifier
1376658070
Registry record updated Mar 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BAY AREA RECOVERY CENTER
Practice address
4316 Washington St
Dickinson, TX 77539-6641
Phone
(281) 957-9201
Fax
(281) 957-9195
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2020

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

Authorized official

Name
Mr. Jake White
Title
Marketing Manager
Phone
(281) 332-5428

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 101YA0400X TX
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4316 Washington St
Dickinson, TX 77539-6641

Mailing address

4316 Washington St
Dickinson, TX 77539-6641
Phone (281) 957-9201

Other identifiers 4

IdentifierTypeStateIssuer
108120OtherTXBHIPS ENTITY
123079OtherTXBHIPS ENTITY
123053OtherTXBHIPS ENTITY
283930001MedicaidTX

National Provider Directory

National Provider Directory

Locations

4316 Washington St
Dickinson, TX 77539
Phone (281) 337-1343

2523 44th St
Dickinson, TX 77539
Phone (281) 337-1343

1807 FM 517 Rd E
Dickinson, TX 77539
Phone (281) 957-9201

2915 S Sam Houston Pkwy E
Ste 104
Houston, TX 77047
Phone (832) 742-9899

1100 Hercules Ave
Ste 130
Houston, TX 77058
Phone (832) 284-4765

6427 Fairmont Pkwy
Ste 104
Pasadena, TX 77505
Phone (281) 617-7854

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584489600000",
    "number": "1376658070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 WASHINGTON ST",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396641",
            "telephone_number": "281-957-9201",
            "fax_number": "281-957-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 WASHINGTON ST",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775396641",
            "telephone_number": "281-957-9201",
            "fax_number": "281-957-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-03-18",
        "certification_date": "2020-03-18",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "MARKETING MANAGER",
        "authorized_official_telephone_number": "281-332-5428",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "101YA0400X",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHIPS ENTITY",
            "identifier": "108120",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHIPS ENTITY",
            "identifier": "123079",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHIPS ENTITY",
            "identifier": "123053",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283930001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; 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.