Active NPI
Erecovered
- Addiction (Substance Use Disorder) Counselor
- San Antonio, TX
National Provider Identifier
1407343536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13499
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Miller, LCDC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- San Antonio, TX
- NPI 1356856496
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.