Active NPI
Douglas W Lewis, L.P.C.
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1043484785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19781
- Practice address
- 1716 S San Marcos
Room 203
San Antonio, TX 78207-7094 - Phone
- (210) 748-5879
- Fax
- (210) 680-4947
- NPI assigned
- Apr 14, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19781 | TX | Primary |
Addresses
Primary practice location
1716 S San Marcos
Room 203
San Antonio, TX 78207-7094
Mailing address
5210 Newcome Dr
San Antonio, TX 78229-4927
Phone (210) 748-8367
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 |
|---|---|---|---|
| 19781 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1043484785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5210 NEWCOME DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294927",
"telephone_number": "210-748-8367",
"fax_number": "210-680-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 S SAN MARCOS",
"address_2": "ROOM 203",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782077094",
"telephone_number": "210-748-5879",
"fax_number": "210-680-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DOUGLAS",
"middle_name": "W",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-14",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19781",
"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 Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.