WILLIAM MATTHEW BUCKMASTER (NPI# 1962958280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962958280 |
| Entity Type | Individual |
| Full Name | WILLIAM MATTHEW BUCKMASTER |
| Credential | LCDC |
| Practice Address |
1820 County Road 36 Angleton TX 77515-8727 |
| Mailing Address |
1820 Country Rd. 36 14103 Timber Bluff Dr. Pearland Tx 77584 Angelton TX 77515 |
| Practice Telephone | 4093829295 |
| Mailing Telephone | 4093829295 |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
11580 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LCDC LICENSE NUMBER | 11580 | 01 |
| Street Address |
1820 COUNTY ROAD 36 |
| City | ANGLETON |
| State | TX |
| Zip Code | 77515-8727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356620314 | Monica Rose Mehalshick | Contractor | 1820 County Road 36, Serenity Light Recovery LLC, Angleton, TX 77515 | 2011-08-09 |
| 1376096461 | Rita L Pruitt | Counselor | 1820 County Road 36, Angleton, TX 77515-8727 | 2016-07-26 |
| 1629420047 | Kelly Taylor-vervalin | Substance Abuse Rehabilitation Facility | 1820 County Road 36, Angleton, TX 77515-8727 | 2016-07-09 |
| 1972954956 | Kristina Barrett | Counselor | 1820 County Road 36, Angleton, TX 77515-8727 | 2016-06-30 |
| 1457736340 | Serenity Light Recovery LLC | Substance Abuse Rehabilitation Facility | 1820 County Road 36, Angleton, TX 77515-8727 | 2015-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725561 | Eve Salinas | Registered Nurse | 610 Cr 199 #11, Angelon, TX 77515 | 2020-06-19 |
| 1861953754 | Ez Pharmacy Group LLC | Pharmacy | 1100 C E Mulberry, Angelton, TX 77515 | 2019-03-25 |
| 1063910230 | Servicios Medicos Para Todos S.a. De C.v. | General Acute Care Hospital | 872-874 Av. Lopez Portillo Sm 59 Mz 37, Unidad Morelos Entre Av. Kabah Y Av. Comalcalco, Cancun, QUINTANA ROO 77515 | 2018-01-23 |
| 1922536671 | Covenant Mobile Healthcare LLC | Nurse Practitioner | Family First Primary Care, 732 E. Henderson Rd, Angleton, TX 77515 | 2017-05-25 |
| 1992254726 | Stephen Ricks Jr. | Nurse Practitioner | 732 E. Henderson Rd, Angleton, TX 77515 | 2016-09-21 |
| 1568849867 | Nancy Vanaphan | Physician Assistant | 146 E Hospital Dr Ste 208, Angleton, TX 77515 | 2015-05-06 |
| 1235560723 | Neuro Analysis Diagnostics | Clinic/Center | 2315 E. Magnolia St., Angleton, TX 77515 | 2013-12-09 |
| 1619308327 | Patricia G. Rios | Speech-Language Pathologist | 120 E. Hospital Dr., Angleton, TX 77515 | 2013-12-05 |
| 1336587716 | Educare Community Living Corporation - Texas | Intermediate Care Facility, Mentally Retarded | 800 N. Arcola, Angelton, TX 77515 | 2013-06-07 |
| 1376872135 | Classic Care Adult Day Care | Day Training, Developmentally Disabled Services | 509 N Downing Ste. B, Angleton, TX 77515 | 2009-12-08 |
| Find all providers in zip 77515 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286437 | Steffanie Thompson | Counselor | 700 N Front St Ste B, Angleton, TX 77515-4573 | 2020-08-21 |
| 1700412145 | Frederick Weatherspoon | Counselor | 2512 N Velasco St Ste 300, Angleton, TX 77515-3180 | 2020-03-17 |
| 1093215261 | Ercelia Estela Smith | Counselor | 4 Stadium Dr, Angleton, TX 77515-2543 | 2018-02-14 |
| 1518337906 | Thomas Najacht | Counselor | 101 Tigner St Bldg 2, Angleton, TX 77515-4569 | 2015-09-29 |
| 1780892356 | Sandra Barrera Villegas | Counselor | 744 W Henderson Rd, Angleton, TX 77515-2704 | 2007-05-18 |
| 1467587451 | Jane Anchando Barron | Counselor | 101 Tigner St, Angleton, TX 77515-4480 | 2007-02-22 |
| 1497752117 | Joseph Matthew Gardzina | Counselor | 400 W Mulberry St, Angleton, TX 77515-5504 | 2005-07-07 |
| 1568920320 | Juliet F Doe | Counselor | 101 Tigner St, Angleton, TX 77515-4568 | 2019-03-11 |
| 1134655806 | Monique Bass | Counselor | 2512 N Velasco St, Angleton, TX 77515-3179 | 2017-05-02 |
| 1487108189 | Joyce Morgan | Counselor | 101 Tigner St, Angleton, TX 77515-4568 | 2016-08-10 |
| Find all providers in ANGLETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.