Active NPI
Martin'S Recovery Center
- Addiction (Substance Use Disorder) Counselor
- Bedford, TX
National Provider Identifier
1881149425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13296
- Legal business name
- MARTIN'S RECOVERY CENTER
- Practice address
- 1456 Sierra Springs Dr
Apt 811
Bedford, TX 76021-7646 - Phone
- (817) 717-4983
- NPI assigned
- Aug 24, 2016
- 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
- Mr. Martin John Nieves, LCDC
- Title
- President
- Phone
- (817) 717-4983
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13296 | TX | Primary |
| Case Management Agency | 251B00000X | 13296 | TX |
Addresses
Primary practice location
1456 Sierra Springs Dr
Apt 811
Bedford, TX 76021-7646
Mailing address
1456 Sierra Springs Dr
Apt 811
Bedford, TX 76021-7646
Phone (817) 717-4983
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
- Bedford, TX
- NPI 1851847446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1471996800000",
"number": "1881149425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1456 SIERRA SPRINGS DR",
"address_2": "APT 811",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760217646",
"telephone_number": "817-717-4983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1456 SIERRA SPRINGS DR",
"address_2": "APT 811",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760217646",
"telephone_number": "817-717-4983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN'S RECOVERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-24",
"last_updated": "2016-08-24",
"status": "A",
"authorized_official_last_name": "NIEVES",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "817-717-4983",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCDC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13296",
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "TX",
"license": "13296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.