Active NPI
Bay Area Recovery Center
- Substance Abuse Rehabilitation Facility
- Dickinson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108120 | Other | TX | BHIPS ENTITY |
| 123079 | Other | TX | BHIPS ENTITY |
| 123053 | Other | TX | BHIPS ENTITY |
| 283930001 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Dickinson, TX
- NPI 1710789540
Addiction (Substance Use Disorder)
-
- Psychosomatic Medicine Physician
- League City, TX
- NPI 1861515074
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.