Groundswell, LLC

Primary specialty

Methadone ClinicTaxonomy code 261QM2800X

Legal business name

GROUNDSWELL, LLC

Practice address

28314 Calvert Rd
Tomball, TX 77377-6167

Phone

(281) 351-8585

Fax

(281) 255-4757

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Jobeth Rickard

Title

Program Sponsor/Director

Phone

(281) 351-8585

Specialties & licenses 1

Addresses

Other names 1

• Counseling and Recovery Services Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Opioid treatment program

Medicare-enrolled since May 1, 2020

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald W. Bowen, D.O.

  • Family Medicine Physician
  • Corpus Christi, TX
  • NPI 1184698912
  NPD
• Candice Martin Demattia, MD

  • Family Medicine Physician
  • Tomball, TX
  • NPI 1669427670
  NPD
• Jason Kelly Demattia, MD

  • Family Medicine Physician
  • Tomball, TX
  • NPI 1528013125
  NPD

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1700918992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28314 CALVERT RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776167",
            "telephone_number": "281-351-8585",
            "fax_number": "281-255-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28314 CALVERT RD",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773776167",
            "telephone_number": "281-351-8585",
            "fax_number": "281-255-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDSWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "RICKARD",
        "authorized_official_first_name": "JOBETH",
        "authorized_official_title_or_position": "PROGRAM SPONSOR/DIRECTOR",
        "authorized_official_telephone_number": "281-351-8585"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling and Recovery Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Griffin-Morris, LCSW
• Monica Patricia Griffin
• Patricia Grimaldo
• Alicia Grimm, PHARM.D.
• Tamra Grotte, FNP-C
• GS Surgical Professional Corporation
• Cindy Vanessa Guardado, FNP-C
• Shan T Guillory, LPC
• Emma Laurel Guindon, LPC-ASSOCIATE
• Mustafa H Gulamhusein

• All providers in Tomball, TX
• Methadone Clinic in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.