Individual provider Active NPI

Rubyann Molina-Garcia, PH.D, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Grand Prairie, TX
National Provider Identifier
1821676040
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
11791 Issued in TX
Practice address
3145 Spyglass Dr
Grand Prairie, TX 75052-7508
Phone
(972) 415-4145
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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 11791 TX Primary

Addresses

Primary practice location

3145 Spyglass Dr
Grand Prairie, TX 75052-7508

Mailing address

3145 Spyglass Dr
Grand Prairie, TX 75052-7508
Phone (972) 415-4145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1821676040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 SPYGLASS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527508",
            "telephone_number": "972-415-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3145 SPYGLASS DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750527508",
            "telephone_number": "972-415-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA-GARCIA",
        "first_name": "RUBYANN",
        "credential": "PH.D, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.