Counselink, Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

10685 Issued in TX

Legal business name

COUNSELINK, INC.

Practice address

4701 W Gate Blvd
Ste. D-404
Austin, TX 78745-1479

Phone

(512) 659-3518

Fax

(512) 899-8300

NPI assigned

Dec 29, 2010

Last updated

Dec 29, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Genaro Sandoval, B.A., LCDC, CARTNPI 1720245798

Title

Ceo

Phone

(512) 659-3518

Specialties & licenses 1

Addresses

Locations

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.

• Genaro Sandoval Jr., B.A., LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Austin, TX
  • NPI 1720245798
  Authorized official Same address or phone

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1982908299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 W GATE BLVD",
            "address_2": "STE. D-404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451479",
            "telephone_number": "512-659-3518",
            "fax_number": "512-899-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 W GATE BLVD",
            "address_2": "STE. D-404",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451479",
            "telephone_number": "512-659-3518",
            "fax_number": "512-899-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELINK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "GENARO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "512-659-3518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A., LCDC, CART"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Austin, TX
• Providers in Austin, 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 Dec 29, 2010; 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.