John Weldon Gatlin, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

12007 Issued in TX

Practice address

4107 Acorn LN
Porter, TX 77365-9611

Phone

(281) 608-7600

NPI assigned

Dec 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Jake Gatlin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Westbridge Recovery Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Porter, TX
  • NPI 1649712951
  NPD (past)

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1962917617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4107 ACORN LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773659611",
            "telephone_number": "281-608-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 ACORN LN",
            "city": "PORTER",
            "state": "TX",
            "postal_code": "773659611",
            "telephone_number": "281-608-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATLIN",
        "first_name": "JOHN",
        "middle_name": "WELDON",
        "name_prefix": "Mr.",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "GATLIN",
            "prefix": "MR.",
            "credential": "LCDC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blanca E Garcia, M.S., CCC-SLP
• Rudy Garcia, LCDC
• Andrew David Gardner, PA
• Kendal Shay Garza, FNP-C
• Leshequa Gasper Bowles
• Rachel M George, RPH
• Daniel Gibson, LAT
• Gilbert C. Price DDS
• April Gipson, B.S., M.S.
• Lakebra Glover, M.D.

• Addiction (Substance Use Disorder) Counselor in Porter, TX
• Providers in Porter, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.