Active NPI
West Texas Counseling and Rehabilitation of Garland, Inc.
- Substance Use Disorder Rehabilitation Clinic/Center
- Garland, TX
National Provider Identifier
1780011403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- WEST TEXAS COUNSELING AND REHABILITATION OF GARLAND, INC.
- Practice address
- 2848 W Kingsley Rd Ste B
Garland, TX 75041-2458 - Phone
- (972) 840-1431
- NPI assigned
- Sep 27, 2013
- 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
- Ivan Garcia, MD
- Title
- President
- Phone
- (972) 840-1431
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
2848 W Kingsley Rd Ste B
Garland, TX 75041-2458
Mailing address
PO Box 303249
Austin, TX 78703-0055
Other names 1
- WTCR Garland, Inc.
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200211001241 | TX | Part B Supplier - Opioid Treatment Program (Otp) | 2769603059 | Practice locations: Garland, TX |
National Provider Directory
National Provider DirectoryLocations
2848 W Kingsley Rd
Ste B
Garland, TX 75041
Phone (817) 377-5223
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Falls Church, VA
- NPI 1649596974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619654400000",
"number": "1780011403",
"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": "2848 W KINGSLEY RD STE B",
"city": "GARLAND",
"state": "TX",
"postal_code": "750412458",
"telephone_number": "972-840-1431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST TEXAS COUNSELING AND REHABILITATION OF GARLAND, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-27",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "IVAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "972-840-1431",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WTCR Garland, Inc.",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "WTCR Garland, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.