Organization Active NPI

Affirm Recovery Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Austin, TX
National Provider Identifier
1861359440
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AFFIRM RECOVERY CENTER, INC
Practice address
5555 N Lamar Blvd Ste D105
Austin, TX 78751-1055
Phone
(512) 230-7905
NPI assigned
Jan 6, 2026
Last updated
Aug 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Leticia Ann Nino
Title
Ceo
Phone
(512) 230-7905

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

5555 N Lamar Blvd Ste D105
Austin, TX 78751-1055

Mailing address

5555 N Lamar Blvd Ste D105
Austin, TX 78751-1055
Phone (512) 230-7905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260504008300 TX Part B Supplier - Clinic/Group Practice 3577031962 Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Locations

5555 N Lamar Blvd
Ste D105
Austin, TX 78751
Phone (512) 230-7905

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1861359440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE D105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511055",
            "telephone_number": "512-230-7905",
            "fax_number": "866-560-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N LAMAR BLVD STE D105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787511055",
            "telephone_number": "512-230-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRM RECOVERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "NINO",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-230-7905"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; 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.