Active NPI
Adam M Avila, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1083021604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68823
- Practice address
- 333 Kayton Ave
San Antonio, TX 78210-3536 - Phone
- (210) 852-1663
- NPI assigned
- Jul 15, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68823 | TX | Primary |
Addresses
Primary practice location
333 Kayton Ave
San Antonio, TX 78210-3536
Mailing address
333 Kayton Ave
San Antonio, TX 78210-3536
Phone (210) 852-1663
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 |
|---|---|---|---|
| 68823 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radius Psychotherapy PLLC | Professional | Current | Accepting new patients |
Locations
111 Camargo St
San Antonio, TX 78210
Phone (210) 643-4982
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405382400000",
"number": "1083021604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 KAYTON AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782103536",
"telephone_number": "210-852-1663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 KAYTON AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782103536",
"telephone_number": "210-852-1663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "ADAM",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2014-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68823",
"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 15, 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.