Organization Active NPI

Buena Vida Counseling Services

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1063700771
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
19232 Issued in TX
Legal business name
BUENA VIDA COUNSELING SERVICES
Practice address
10435 Overland CRK
San Antonio, TX 78245-2331
Phone
(210) 598-0843
Fax
(210) 852-2312
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Mr. Trinidad Botello Jr.
Title
Owner
Phone
(210) 598-0843

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 19232 TX Primary

Addresses

Primary practice location

10435 Overland CRK
San Antonio, TX 78245-2331

Mailing address

10435 Overland CRK
San Antonio, TX 78245-2331
Phone (210) 598-0843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1063700771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10435 OVERLAND CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452331",
            "telephone_number": "210-598-0843",
            "fax_number": "210-852-2312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 OVERLAND CRK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452331",
            "telephone_number": "210-598-0843",
            "fax_number": "210-852-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VIDA COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "BOTELLO",
        "authorized_official_first_name": "TRINIDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-598-0843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "19232",
            "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 14, 2011; 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.