Individual provider Active NPI

George E Comiskey, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Lubbock, TX
National Provider Identifier
1386973758
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
9029 Issued in TX
Practice address
4630 50TH St
Suite 509
Lubbock, TX 79414-3521
Phone
(806) 771-8808
Fax
(806) 771-8809
NPI assigned
Dec 15, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 9029 TX Primary

Addresses

Primary practice location

4630 50TH St
Suite 509
Lubbock, TX 79414-3521

Mailing address

4630 50TH St
Suite 509
Lubbock, TX 79414-3521
Phone (806) 771-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9029TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick D Randolph PHD Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1386973758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 50TH ST",
            "address_2": "SUITE 509",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143521",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 50TH ST",
            "address_2": "SUITE 509",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143521",
            "telephone_number": "806-771-8808",
            "fax_number": "806-771-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISKEY",
        "first_name": "GEORGE",
        "middle_name": "E",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.