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CENIKOR FOUNDATION
NPI 1023414984
Clinic/Center - Rehabilitation, Substance Use Disorder in Deer Park, TX

Active since November 05, 2014CLIA 45D2325792 · Waiver
4525 GLENWOOD AVE, DEER PARK, TX 77536(281) 476-0088(281) 476-5581 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 5, 2020, Jan 6, 2020 (2 updates tracked since 2020).

About Cenikor Foundation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENIKOR FOUNDATION (NPI 1023414984) is a healthcare organization registered as a rehabilitation, substance use disorder in Deer Park, Texas and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Matt Kuhlman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1023414984
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCENIKOR FOUNDATION
Location Address4525 GLENWOOD AVEDeer Park, TX 77536-7901
Mailing AddressPo Box 4785, Msc 675Houston, TX 77210 · (713) 266-9944 · Fax (713) 574-2940
Phone(281) 476-0088
Fax(281) 476-5581
Organization SubpartNo
Authorized OfficialMatt KuhlmanCfo · (713) 266-9944
Enumeration DateNovember 5, 2014
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 4, 2020
✔ NPI 1023414984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
4525 GLENWOOD AVE, Deer Park, TX 77536
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2325792

Cenikor Foundation - Dallas · Irving, TX
Active · expires Jun 19, 2027
CLIA Number45D2325792
Laboratory TypeSubstance Use Treatment
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorTiffney Randle
Laboratory Phone(713) 266-9944
Laboratory LocationCenikor Foundation - Dallas2425 Texas Drive, Irving, TX 75062
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ANN IBANEZ LCDC
Counselor (Addiction (Substance Use Disorder))
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (713) 909-9533
MRS. DEBRA SILLAS LCDC
Counselor
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (832) 208-1282
MARTHA ELIZENDA SOLIS LPC
Counselor (Professional)
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (281) 476-0088
LISA UTTERBACK
Peer Specialist
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (281) 476-0088
JEREMIAH E CLIFFORD LCDC
Counselor (Addiction (Substance Use Disorder))
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (281) 946-4331
JENNIFER LINNEA BROWN LCDC-I
Counselor (Addiction (Substance Use Disorder))
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (281) 476-0088
MS. MARINELA ANDERSON LCDC
Counselor (Addiction (Substance Use Disorder))
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (281) 946-4344
DOMINIQUE T JONES LCDC
Counselor (Addiction (Substance Use Disorder))
4525 GLENWOOD AVE
DEER PARK, TX 77536
Harris County (281) 946-4338

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cenikor Foundation's NPI number?

The NPI number for Cenikor Foundation is 1023414984. It was assigned to this organization in the NPPES registry on November 5, 2014.

Where is Cenikor Foundation located?

Cenikor Foundation is located at 4525 Glenwood Ave, Deer Park, TX 77536. The listed phone number is (281) 476-0088.

What is Cenikor Foundation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Does Cenikor Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2325792) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Cenikor Foundation was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.