NPIMap

Organization Active NPI

Roy Maas' Youth Alternatives, Inc.

  • Clinical Social Worker
  • Boerne, TX
National Provider Identifier
1083774046
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROY MAAS' YOUTH ALTERNATIVES, INC.
Practice address
121 Old San Antonio Rd
Boerne, TX 78006-3415
Phone
(830) 816-2425
Fax
(830) 249-8714
NPI assigned
Dec 11, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Gloria B Kelly
Title
Chief Executive Officer
Phone
(210) 340-8077

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

121 Old San Antonio Rd
Boerne, TX 78006-3415

Mailing address

3103 West Ave
San Antonio, TX 78213-4535
Phone (210) 340-8077

National Provider Directory

National Provider Directory
Tax ID family
Meadowland Charter School2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

121 Old San Antonio Rd
Boerne, TX 78006
Phone (830) 816-2425

3103 West Ave
San Antonio, TX 78213
Phone (210) 340-7971

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1083774046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134535",
            "telephone_number": "210-340-8077",
            "fax_number": "210-340-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 OLD SAN ANTONIO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063415",
            "telephone_number": "830-816-2425",
            "fax_number": "830-249-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY MAAS' YOUTH ALTERNATIVES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "210-340-8077"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.