Active NPI
McKenna Hereford, PH.D.
- Counseling Psychologist
- San Antonio, TX
National Provider Identifier
1073265039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 38864
- Practice address
- 4606 Centerview Ste 266
San Antonio, TX 78228-1204 - Phone
- (726) 201-5284
- NPI assigned
- Jan 21, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 38864 | TX | Primary |
Addresses
Primary practice location
4606 Centerview Ste 266
San Antonio, TX 78228-1204
Mailing address
4606 Centerview Ste 266
San Antonio, TX 78228-1204
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1073265039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4606 CENTERVIEW STE 266",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4606 CENTERVIEW STE 266",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281204",
"telephone_number": "726-201-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEREFORD",
"first_name": "MCKENNA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2023-06-13",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "38864",
"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 Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.