Organization Active NPI

11817 Landrum Inc

Doing business as Connected Path Recovery

  • Substance Abuse Rehabilitation Facility
  • Beaumont, TX
National Provider Identifier
1922519727
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
11817 LANDRUM INC
Doing business as
Connected Path Recovery
Woodlands Recovery Centers
Practice address
4351 Crow Rd
Beaumont, TX 77706-6910
Phone
(409) 299-8555
Fax
(409) 271-3075
NPI assigned
Oct 19, 2017
Last updated
Jul 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Authorized official

Name
Regina Michelle Tate, LPCNPI 1497197008
Title
Ceo
Phone
(409) 853-2273

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
Adult Mental Health Clinic/Center 261QM0850X NU
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

4351 Crow Rd
Beaumont, TX 77706-6910

Mailing address

4351 Crow Rd
Beaumont, TX 77706-6910
Phone (409) 299-8555

Other names 2

  • Connected Path Recovery Doing business as
  • Woodlands Recovery Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
11817 Landrum Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1505 Cornerstone Ct
Beaumont, TX 77706
Phone (409) 299-8555

4351 Crow Rd
Beaumont, TX 77706
Phone (409) 299-5555

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1922519727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 CROW RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066910",
            "telephone_number": "409-299-8555",
            "fax_number": "409-271-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 CROW RD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066910",
            "telephone_number": "409-299-8555",
            "fax_number": "409-271-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "11817 LANDRUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-853-2273",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "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": [
        {
            "organization_name": "Connected Path Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlands Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.