Rudy Garcia, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

9647 Issued in TX

Practice address

4107 Acorn LN
Porter, TX 77365-9611

Phone

(281) 608-7600

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Westbridge Recovery Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Porter, TX
  • NPI 1649712951
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1639676711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 GOLDEN GROVE LN",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773737226",
            "telephone_number": "832-715-6651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 ACORN LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773659611",
            "telephone_number": "281-608-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RUDY",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "9647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Fazio, SLP
• Emily Felenczak, IMF
• Abel Fernandez
• Ammie Joseph Franklin
• Blanca E Garcia, M.S., CCC-SLP
• Andrew David Gardner, PA
• Kendal Shay Garza, FNP-C
• Leshequa Gasper Bowles
• John Weldon Gatlin, LCDC
• Rachel M George, RPH

• Addiction (Substance Use Disorder) Counselor in Porter, TX
• Providers in Porter, 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 Apr 6, 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.