Organization Active NPI

West Texas Counselling and Rehabilitation Program of Odessa, Inc.

Doing business as WTCR Odessa, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Odessa, TX
National Provider Identifier
1588795686
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF ODESSA, INC.
Doing business as
WTCR Odessa, Inc.
Practice address
515 Golder Ave
Odessa, TX 79761-4411
Phone
(432) 335-8141
NPI assigned
Mar 8, 2007
Last updated
Jan 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Ivan Garcia, MD
Title
President
Phone
(214) 287-6479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X NU
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

515 Golder Ave
Odessa, TX 79761-4411

Mailing address

PO Box 303249
Austin, TX 78703-0055

Other names 1

  • WTCR Odessa, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200213001841 TX Part B Supplier - Opioid Treatment Program (Otp) 7911144126 Practice locations: Odessa, TX

National Provider Directory

National Provider Directory

Locations

515 Golder Ave
Odessa, TX 79761
Phone (432) 335-8141

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1588795686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303249",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787030055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 GOLDER AVE",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614411",
            "telephone_number": "432-335-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS COUNSELLING AND REHABILITATION PROGRAM OF ODESSA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "IVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-287-6479",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WTCR Odessa, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WTCR Odessa, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.