Individual provider Active NPI

Edward Philip Ynostrosa-Travers, LPC-S

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1013962737
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16354 Issued in TX
Practice address
702 San Pedro Ave
San Antonio, TX 78212
Phone
(210) 299-2400
NPI assigned
May 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 16354 TX Primary

Addresses

Primary practice location

702 San Pedro Ave
San Antonio, TX 78212

Mailing address

702 San Pedro Ave
San Antonio, TX 78212
Phone (210) 299-2400

Other names 1

  • Mr. Edward Philip Travers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829000307 TX Practitioner - Mental Health Counselor 6002339959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6615 Prescott DM
San Antonio, TX 78233-4577

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16354TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association of San Antonio, Inc. Professional CurrentSince Jun 29, 2025 Accepting new patients

Locations

4245 Centergate St
San Antonio, TX 78217
Phone (210) 299-2400

702 San Pedro Ave
San Antonio, TX 78212
Phone (210) 299-2400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1013962737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-299-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78212",
            "telephone_number": "210-299-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YNOSTROSA-TRAVERS",
        "first_name": "EDWARD",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "credential": "LPC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2023-02-03",
        "certification_date": "2023-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "16354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDWARD",
            "last_name": "TRAVERS",
            "middle_name": "PHILIP",
            "prefix": "MR.",
            "credential": "LPC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.