CENIKOR FOUNDATION
NPI 1548654338
Clinic/Center - Rehabilitation, Substance Use Disorder in Tyler, TX

Active since March 19, 2015CLIA 45D2165622 · Waiver
1827 W GENTRY PKWY, TYLER, TX 75702(713) 266-9944 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 10, 2020, Jan 6, 2020, Feb 14, 2019 (3 updates tracked since 2019).

About Cenikor Foundation NPPES

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

CENIKOR FOUNDATION (NPI 1548654338) is a healthcare organization registered as a rehabilitation, substance use disorder in Tyler, Texas and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through May 1, 2027 and lists Matt Kuhlman, Cfo, as its authorized official.

NPPES Registry Identity

NPI1548654338
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameCENIKOR FOUNDATION
Location Address1827 W GENTRY PKWYTyler, TX 75702-3929
Mailing AddressPo Box 4785, Msc 675Houston, TX 77210 · (713) 266-9944
Organization SubpartYes
Authorized OfficialMatt KuhlmanCfo · (713) 266-9944
Enumeration DateMarch 19, 2015
Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2025
NPI 1548654338 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
Also ListedPediatricsTaxonomy 208000000X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
1827 W GENTRY PKWY, Tyler, TX 75702

Other Identifiers 1

Medicaid348629201TX

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
45D2165622
Facility Type
Other - SUBSTANCE ABUSE TREATMENT
Certificate Effective Date
May 02, 2025
Certificate Expiration Date
May 01, 2027
Laboratory Director
KEISHA MORRIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cenikor Foundation to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for CENIKOR FOUNDATION

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702
Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702
Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702
Counselor (Addiction (Substance Use Disorder))
1827 W GENTRY PKWY
TYLER, TX 75702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548654338, enumerated as an "organization" on March 19, 2015.

The provider is located at 1827 W GENTRY PKWY TYLER, TX 75702 and the phone number is (713) 266-9944.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.