Active NPI
Liliana Jernigan
- Counselor
- San Antonio, TX
National Provider Identifier
1053809657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 74596
- Practice address
- 3522 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1231 - Phone
- (210) 201-3744
- NPI assigned
- Apr 29, 2018
- Last updated
- Jun 20, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 74596 | TX | Primary |
Addresses
Primary practice location
3522 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1231
Mailing address
3522 Paesanos Pkwy Ste 300
San Antonio, TX 78231-1231
Phone (210) 201-3744
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 |
|---|---|---|---|
| 74596 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling4Life, LLC | Past | Accepting new patients |
Organizations & group practices 1
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": "1524960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1053809657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3522 PAESANOS PKWY STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311231",
"telephone_number": "210-201-3744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3522 PAESANOS PKWY STE 300",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782311231",
"telephone_number": "210-201-3744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERNIGAN",
"first_name": "LILIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-29",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "74596",
"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 Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.