Individual provider Active NPI

Dan Norman Caldwell Jr., MA, LCDC-CCS, ADC

  • Addiction (Substance Use Disorder) Counselor
  • Houston, TX
National Provider Identifier
1720604309
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
12278 Issued in TX
Practice address
11999 Katy Fwy Ste 530
Houston, TX 77079-1623
Phone
(832) 443-2983
NPI assigned
Jun 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12278 TX Primary

Addresses

Primary practice location

11999 Katy Fwy Ste 530
Houston, TX 77079-1623

Mailing address

25611 Pannier PL
Katy, TX 77493-3699
Phone (832) 326-6276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
12278TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Counseling Center Addiction (Substance Use Disorder) CurrentSince Jun 21, 2020 Accepting new patients

Locations

11999 Katy Fwy
Ste 530
Houston, TX 77079
Phone (832) 303-9419

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1720604309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25611 PANNIER PL",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774933699",
            "telephone_number": "832-326-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11999 KATY FWY STE 530",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791623",
            "telephone_number": "832-443-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "DAN",
        "middle_name": "NORMAN",
        "name_suffix": "Jr.",
        "credential": "MA, LCDC-CCS, ADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.