Organization Active NPI

Selfjourney Counseling PLLC

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1063199743
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SELFJOURNEY COUNSELING PLLC
Practice address
7550 W Interstate 10 Ste 80088
San Antonio, TX 78229-5803
Phone
(210) 617-3602
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Erika Elena Alanis-Garcia, LCSW-SNPI 1215218367
Title
Licensed Clinical Social Worker
Phone
(210) 617-3602

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7550 W Interstate 10 Ste 80088
San Antonio, TX 78229-5803

Mailing address

7550 W Interstate 10 Ste 80088
San Antonio, TX 78229-5803
Phone (210) 617-3602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230727003960 TX Part B Supplier - Clinic/Group Practice 5799146429 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1063199743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 W INTERSTATE 10 STE 80088",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295803",
            "telephone_number": "210-617-3602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 W INTERSTATE 10 STE 80088",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295803",
            "telephone_number": "210-617-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELFJOURNEY COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "ALANIS-GARCIA",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "ELENA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "210-617-3602",
        "authorized_official_credential": "LCSW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.