Organization Active NPI

Erecovered

  • Addiction (Substance Use Disorder) Counselor
  • San Antonio, TX
National Provider Identifier
1407343536
Registry record updated Apr 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13499 Issued in TX
Legal business name
ERECOVERED
Practice address
6206 Stable Downs
San Antonio, TX 78249-4604
Phone
(210) 602-6439
NPI assigned
Apr 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2018

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

Authorized official

Name
Courtney Miller, LCDCNPI 1356856496
Title
Vice President
Phone
(210) 602-6439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 13499 TX Primary

Addresses

Primary practice location

6206 Stable Downs
San Antonio, TX 78249-4604

Mailing address

6206 Stable Downs
San Antonio, TX 78249-4604
Phone (210) 602-6439

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523664000000",
    "number": "1407343536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6206 STABLE DOWNS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494604",
            "telephone_number": "210-602-6439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6206 STABLE DOWNS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782494604",
            "telephone_number": "210-602-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERECOVERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-602-6439",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.