Active NPI
De'Ja M Hurte
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1063052926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93630
- Practice address
- 711 E Josephine St
San Antonio, TX 78208-1027 - Phone
- (210) 261-3800
- Fax
- (210) 261-1807
- NPI assigned
- Jan 8, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | TX | ||
| Professional Counselor | 101YP2500X | 93630 | TX | Primary |
Addresses
Primary practice location
711 E Josephine St
San Antonio, TX 78208-1027
Mailing address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060
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 |
|---|---|---|---|
| 93630 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1063052926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD STE 200S",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134293",
"telephone_number": "210-261-1060",
"fax_number": "210-261-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "711 E JOSEPHINE ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782081027",
"telephone_number": "210-261-3800",
"fax_number": "210-261-1807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTE",
"first_name": "DE'JA",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-08",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93630",
"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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.