MJK Family Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

40508 Issued in TX

Legal business name

MJK FAMILY THERAPY, LLC

Practice address

19206 Huebner Rd
Suite 104
San Antonio, TX 78258-3146

Phone

(706) 247-3515

Fax

(210) 499-4956

NPI assigned

Dec 18, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mary Joanne Kraus, PHD, LCSWNPI 1629263215

Title

Psychotherapist

Phone

(706) 247-3515

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary J Kraus, LCSW

  • Social Worker
  • San Antonio, TX
  • NPI 1629263215
  Authorized official Same address or phone

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1083012314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19206 HUEBNER RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583146",
            "telephone_number": "706-247-3515",
            "fax_number": "210-499-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19206 HUEBNER RD",
            "address_2": "SUITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583146",
            "telephone_number": "706-247-3515",
            "fax_number": "210-499-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJK FAMILY THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JOANNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "706-247-3515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Alejandro Miwa, M.D.
• Mohammad Reza Mizani, M.D.
• Alexis Lee Mize
• Caleb Zachariah Mize
• Florence Mizutani-Cuevas, LMSW
• MJSK Transportation LLC
• MJSK Transportation LLC
• MK Transportation Services Texas
• Christina M. Mkhantar, NP-C
• Tigran Mkrtchian

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.