Manuel Robert Cordero, M.ED.,LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11726 Issued in TX

Practice address

8401 Datapoint Dr Ste 301
San Antonio, TX 78229-5904

Phone

(210) 354-1186

Fax

(210) 354-1187

NPI assigned

Sep 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Charles Elias Gutierrez PHD LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1093577850
  NPD
• Charles Elias Gutierrez,PHD,LLC

  • Clinical Psychologist
  • San Antonio, TX
  • NPI 1750587499
  NPD (past)

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

{
    "created_epoch": "1127606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1013903012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 TRIPLE CROWN LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482506",
            "telephone_number": "210-422-8702",
            "fax_number": "210-492-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 DATAPOINT DR STE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295904",
            "telephone_number": "210-354-1186",
            "fax_number": "210-354-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "MANUEL",
        "middle_name": "ROBERT",
        "credential": "M.ED.,LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "026505001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Stephens Cordeau, LVN
• Kelly Cordell, SLP
• Jeremy David Corder, RN
• David Cordero
• Jonathan Cordero
• Melanie Ann Cordero
• Ryane Marie Cordero, NP
• Charles Byron Cordes, LMSW
• Jeffrey Alan Cordes, M.D.
• Cordial Emergency Medical Services LLC

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.