Active NPI
Melinda Morales Herrera, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1073920906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 69683
- Practice address
- 12118 Fort Leaton
San Antonio, TX 78254-6357 - Phone
- (713) 344-7855
- NPI assigned
- Jul 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 69683 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 69683 | TX |
Addresses
Primary practice location
12118 Fort Leaton
San Antonio, TX 78254-6357
Mailing address
12118 Fort Leaton
San Antonio, TX 78254-6357
Phone (713) 344-7855
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69683 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643155200000",
"number": "1073920906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12118 FORT LEATON",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782546357",
"telephone_number": "713-344-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12118 FORT LEATON",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782546357",
"telephone_number": "713-344-7855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MELINDA",
"middle_name": "MORALES",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-11",
"last_updated": "2022-01-26",
"certification_date": "2022-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "69683",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "69683",
"primary": false
}
],
"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 Jan 26, 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.