Linda Bussey Southard, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14072 Issued in TX

Practice address

1913 Georgetown Dr
Denton, TX 76201-1736

Phone

(469) 263-2831

NPI assigned

Jun 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Texas Treatment Services LLC

  dba Brentwood Treatment Services

  • Methadone Clinic
  • Fort Worth, TX
  • NPI 1932377082
  NPD (past)

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1396362901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 GEORGETOWN DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011736",
            "telephone_number": "469-263-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 GEORGETOWN DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762011736",
            "telephone_number": "469-263-2831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Londonderry Ln",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762057792",
            "country_code": "US",
            "telephone_number": "404-830-6449",
            "fax_number": "940-483-9337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOUTHARD",
        "first_name": "LINDA",
        "middle_name": "BUSSEY",
        "name_prefix": "Mrs.",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "14072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siva Prasad Sontineni, M.D.
• Joana Sossaman, MA, NCC
• Elizabeth Soto, BCABA
• Ivette F Soto, DDS
• Rafeal Soto
• Southerncare, Inc. (SouthernCare Denton)
• Southridge Dental, LLC
• Span, Inc
• Span, Incorporated (Span Denton County)
• Specialeyes Optical, LLC

• Addiction (Substance Use Disorder) Counselor in Denton, TX
• Providers in Denton, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.