Addicare Group of Texas

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

628-A Issued in TX

Legal business name

ADDICARE GROUP OF TEXAS

Practice address

2722 W Kingsley Rd
Suite 115
Garland, TX 75041-2442

Phone

(972) 278-4760

Fax

(972) 926-1099

NPI assigned

Jan 11, 2007

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Harrison, LCDC

Title

Ceo

Phone

(972) 278-4760

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1417007394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 W KINGSLEY RD",
            "address_2": "SUITE 115",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412442",
            "telephone_number": "972-278-4760",
            "fax_number": "972-926-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2722 W KINGSLEY RD",
            "address_2": "SUITE 115",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750412442",
            "telephone_number": "972-278-4760",
            "fax_number": "972-926-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICARE GROUP OF TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-278-4760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "628-A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3580904",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Garland, TX
• Providers in Garland, 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 Feb 23, 2017; 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.