Organization Active NPI

Palmer Counseling Consulting Coaching Incorporated

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1093214553
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
69841 Issued in TX
Legal business name
PALMER COUNSELING CONSULTING COACHING INCORPORATED
Practice address
3030 Nacogdoches Rd
San Antonio, TX 78217-4540
Phone
(210) 826-9599
Fax
(210) 826-9828
NPI assigned
Feb 9, 2018
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Rochelle D Farris
Title
Medical Billing & Credentialing Spe
Phone
(210) 833-8615

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 69841 TX Primary

Addresses

Primary practice location

3030 Nacogdoches Rd
San Antonio, TX 78217-4540

Mailing address

9702 Falcon Bay
Converse, TX 78109-2940
Phone (210) 826-9599

Other identifiers 1

IdentifierTypeStateIssuer
339437102MedicaidTX

National Provider Directory

National Provider Directory

Locations

3030 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 826-9599

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1093214553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9702 FALCON BAY",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781092940",
            "telephone_number": "210-826-9599",
            "fax_number": "210-826-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174540",
            "telephone_number": "210-826-9599",
            "fax_number": "210-826-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALMER COUNSELING CONSULTING COACHING INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "ROCHELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAL BILLING & CREDENTIALING SPE",
        "authorized_official_telephone_number": "210-833-8615"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "339437102",
            "state": "TX"
        }
    ],
    "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 Feb 9, 2018; 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.