Tomoko Iimura

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

204700 Issued in TX

Practice address

1100 Northwest Loop 410 Suite 700
San Antonio, TX 78213

Phone

(805) 697-4661

NPI assigned

Sep 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Well Therapy PLLC

  • Marriage & Family Therapist
  • San Antonio, TX
  • NPI 1164145736
  NPD Authorized official

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1073236642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90632",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782099088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NORTHWEST LOOP 410 SUITE 700",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78213",
            "telephone_number": "805-697-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IIMURA",
        "first_name": "TOMOKO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ihenacho
• Prince Chiwuikem Ihenacho
• Francis O Ihesiaba, RN
• Stella Uzoamaka Ihesiaba
• Connie Sendejo Ihle, COTA
• Pamela Ijeoma
• Ijna Home Health Services LLC
• Ijna Home Health Services LLC
• Ijna Nursing Services
• Mary Ikamba

• Marriage & Family Therapist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.