Individual provider Active NPI

Kadean Ortiz

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1023871860
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
87739 Issued in TX
Practice address
4400 S Piedras Dr Ste 213
San Antonio, TX 78228-1223
Phone
(210) 460-0337
NPI assigned
Feb 5, 2024
Last updated
Aug 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 87739 TX Primary

Addresses

Primary practice location

4400 S Piedras Dr Ste 213
San Antonio, TX 78228-1223

Mailing address

4400 S Piedras Dr Ste 2134400
San Antonio, TX 78228-1223
Phone (361) 597-6058

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
I20250324002495 TX Practitioner - Mental Health Counselor 1153843727 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
87739TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Power & Resiliency Therapy LLC CurrentSince May 1, 2025 Accepting new patients
Transform & Renew, PLLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

11550 W Interstate 10
Ste 155
San Antonio, TX 78230
Phone (210) 201-4578

4400 S Piedras Dr
#213
San Antonio, TX 78228
Phone (361) 597-6058

4400 S Piedras Dr
Ste 213
San Antonio, TX 78228
Phone (210) 460-0337

Organizations & group practices 2

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": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1023871860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 S PIEDRAS DR STE 2134400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281223",
            "telephone_number": "361-597-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 S PIEDRAS DR STE 213",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281223",
            "telephone_number": "210-460-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "KADEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "87739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.