Active NPI
Nathan Dean Fitch, LMFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1023325636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201209
- Practice address
- 4115 Medical Dr
Suite 105
San Antonio, TX 78229-5657 - Phone
- (210) 280-0262
- Fax
- (210) 615-1122
- NPI assigned
- Sep 2, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10742 | TX | |
| Marriage & Family Therapist | 106H00000X | 201209 | TX | Primary |
Addresses
Primary practice location
4115 Medical Dr
Suite 105
San Antonio, TX 78229-5657
Mailing address
4115 Medical Dr
Suite 105
San Antonio, TX 78229-5657
Phone (210) 280-0262
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 |
|---|---|---|---|
| 10742 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 201209 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283385600000",
"number": "1023325636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 MEDICAL DR",
"address_2": "SUITE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295657",
"telephone_number": "210-280-0262",
"fax_number": "210-615-1122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 MEDICAL DR",
"address_2": "SUITE 105",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782295657",
"telephone_number": "210-280-0262",
"fax_number": "210-615-1122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITCH",
"first_name": "NATHAN",
"middle_name": "DEAN",
"name_prefix": "Mr.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10742",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.