Organization Active NPI

Martin'S Recovery Center

  • Addiction (Substance Use Disorder) Counselor
  • Bedford, TX
National Provider Identifier
1881149425
Registry record updated Aug 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13296 Issued in TX
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

Updated by the provider on Aug 24, 2016

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

Authorized official

Name
Mr. Martin John Nieves, LCDCNPI 1851847446
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.