Individual provider Active NPI

Hector Manuel Beza Jr., MA, MS, MBA, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1063251296
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86448 Issued in TX
Practice address
12860 Laurel Brush
San Antonio, TX 78253-2207
Phone
(210) 274-7071
NPI assigned
May 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 86448 TX Primary

Addresses

Primary practice location

12860 Laurel Brush
San Antonio, TX 78253-2207

Mailing address

12860 Laurel Brush
San Antonio, TX 78253-2207
Phone (210) 274-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531003766 TX Practitioner - Mental Health Counselor 9436691722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliance Behavioral Health PCGroup PAC ID 9335110600, 7 clinicians

Practice addresses (Care Compare)

13014 Kings Forest St
San Antonio, TX 78230-1515
Phone (210) 744-5863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Business Administration, Master of Science

State licenses

LicenseStateTypeSpecialty
86448TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Behavioral Health, P.C. Professional CurrentSince May 24, 2024 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1063251296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12860 LAUREL BRUSH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532207",
            "telephone_number": "210-274-7071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12860 LAUREL BRUSH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532207",
            "telephone_number": "210-274-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZA",
        "first_name": "HECTOR",
        "middle_name": "MANUEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, MS, MBA, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.