Active NPI
Fifth Direction
- Substance Abuse Rehabilitation Facility
- Galveston, TX
National Provider Identifier
1760089767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- FIFTH DIRECTION
- Practice address
- 4320 Avenue R 1/2 Rear
Galveston, TX 77550-7346 - Phone
- (281) 619-8550
- NPI assigned
- Oct 4, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dean Alan Sims, LCDC
- Title
- Facilitator
- Phone
- (281) 780-9014
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
4320 Avenue R 1/2 Rear
Galveston, TX 77550-7346
Mailing address
4320 Avenue R 1/2 Rear
Galveston, TX 77550-7346
Phone (281) 780-9014
Other names 1
- SIRIUS-RECOVERY
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
- NPI 1386046423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1601769600000",
"number": "1760089767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4320 AVENUE R 1/2 REAR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775507346",
"telephone_number": "281-780-9014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 AVENUE R 1/2 REAR",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775507346",
"telephone_number": "281-619-8550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIFTH DIRECTION",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-04",
"last_updated": "2020-10-04",
"certification_date": "2020-10-04",
"status": "A",
"authorized_official_last_name": "SIMS",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "FACILITATOR",
"authorized_official_telephone_number": "281-780-9014",
"authorized_official_credential": "LCDC"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SIRIUS-RECOVERY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.