Active NPI
Suzanne Balderrama
- Mental Health Counselor
- New Braunfels, TX
National Provider Identifier
1013666957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 88056
- Practice address
- 2115 Stephens PL Ste 730
New Braunfels, TX 78130-2171 - Phone
- (210) 366-3700
- NPI assigned
- Mar 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88056 | TX | Primary |
Addresses
Primary practice location
2115 Stephens PL Ste 730
New Braunfels, TX 78130-2171
Mailing address
2115 Stephens PL Ste 730
New Braunfels, TX 78130-2171
Phone (210) 366-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88056 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Esquivel, PH.D., P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647648000000",
"number": "1013666957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 STEPHENS PL STE 730",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302171",
"telephone_number": "210-366-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 STEPHENS PL STE 730",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302171",
"telephone_number": "210-366-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDERRAMA",
"first_name": "SUZANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-19",
"last_updated": "2022-03-19",
"certification_date": "2022-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "88056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.