TLG

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

TLG

Practice address

16170 Jones Maltsberger Rd Ste 108109
San Antonio, TX 78247-3202

Phone

(210) 316-3799

Fax

(210) 349-9983

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Denise Y Johnson

Title

Director of Client Services

Phone

(210) 316-3799

Specialties & licenses 4

Addresses

Other identifiers 1

Tax ID family

The Lahaye Group LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• TLG the Lahaye Group LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • San Antonio, TX
  • NPI 1326579251
  NPD tax ID

Locations

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1053664664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 108109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "210-316-3799",
            "fax_number": "210-349-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 108109",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473202",
            "telephone_number": "210-316-3799",
            "fax_number": "210-349-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLG",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "DIRECTOR OF CLIENT SERVICES",
        "authorized_official_telephone_number": "210-316-3799",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "32426",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149705901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennedy Michael Tlaseca, MD
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• TLC the Laser Center (Institute) Inc.
• TLG Dental Group
• TLG the Lahaye Group LLC
• TLJ Neurology, PLLC
• TMC Medical Sales, LLC
• TMC Provider Group PLLC

• Counseling Psychologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counseling Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.