NPIMap

Organization Active NPI

Cenikor Foundation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Waco, TX
National Provider Identifier
1437414810
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
CENIKOR FOUNDATION
Practice address
3015 Herring Avenue
Waco, TX 76708
Phone
(254) 753-8873
NPI assigned
Jul 11, 2012
Last updated
Sep 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CENIKOR FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Matt Kuhlman
Title
Cfo
Phone
(713) 266-9944

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Addiction Medicine (Family Medicine) Physician 207QA0401X NU
Internal Medicine Physician 207R00000X NU
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU
Pediatrics Physician 208000000X NU
General Practice Physician 208D00000X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary
Substance Abuse Rehabilitation Facility 324500000X NU

Addresses

Primary practice location

3015 Herring Avenue
Waco, TX 76708

Mailing address

PO Box 4785
MSC 675
Houston, TX 77210

Other names 1

  • Cenikor Foundation Waco Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2168396Cenikor Foundation-Waco3015 Herring Avenue, Waco, TX 76708Certificate of waiverJun 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Cenikor Foundation27 organizations share this tax ID, including this one
Part of
Cenikor Foundation

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1437414810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4785",
            "address_2": "MSC 675",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 HERRING AVENUE",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76708",
            "telephone_number": "254-753-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENIKOR FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENIKOR FOUNDATION",
        "enumeration_date": "2012-07-11",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "KUHLMAN",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "713-266-9944"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cenikor Foundation Waco",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cenikor Foundation Waco",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.