Active NPI
John G. Dimler
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1043404841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14338
- Legal business name
- JOHN G. DIMLER
- Practice address
- 4204 Gardendale St
Suite 203
San Antonio, TX 78229-3132 - Phone
- (210) 614-8452
- Fax
- (210) 614-8561
- NPI assigned
- Sep 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John G. Dimler, LPC, LCSW
- Title
- Counselor
- Phone
- (210) 614-8452
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14338 | TX | Primary |
| Clinical Social Worker | 1041C0700X | 21650 | TX |
Addresses
Primary practice location
4204 Gardendale St
Suite 203
San Antonio, TX 78229-3132
Mailing address
4204 Gardendale St
Suite 203
San Antonio, TX 78229-3132
Phone (210) 614-8452
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188950400000",
"number": "1043404841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4204 GARDENDALE ST",
"address_2": "SUITE 203",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293132",
"telephone_number": "210-614-8452",
"fax_number": "210-614-8561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 GARDENDALE ST",
"address_2": "SUITE 203",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782293132",
"telephone_number": "210-614-8452",
"fax_number": "210-614-8561"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN G. DIMLER",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-05",
"last_updated": "2007-09-05",
"status": "A",
"authorized_official_last_name": "DIMLER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "210-614-8452",
"authorized_official_credential": "LPC, LCSW"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14338",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "21650",
"primary": false
}
],
"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 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.