Active NPI
Jill M Lewis
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1093320954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74433
- Practice address
- 6923 W Loop 1604 N Ste 119
San Antonio, TX 78254-2631 - Phone
- (210) 446-6454
- Fax
- (210) 314-4671
- NPI assigned
- Sep 8, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 74433 | TX | Primary |
Addresses
Primary practice location
6923 W Loop 1604 N Ste 119
San Antonio, TX 78254-2631
Mailing address
6923 W Loop 1604 N Ste 119
San Antonio, TX 78254-2631
Phone (210) 446-6454
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Www.gritandgracecounseling.com | Other |
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 |
|---|---|---|---|
| 74433 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grit & Grace Counseling, PLLC | Professional | Past | Accepting new patients |
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": "1599523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601510400000",
"number": "1093320954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6923 W LOOP 1604 N STE 119",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542631",
"telephone_number": "210-446-6454",
"fax_number": "210-314-4671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6923 W LOOP 1604 N STE 119",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782542631",
"telephone_number": "210-446-6454",
"fax_number": "210-314-4671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JILL",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-08",
"last_updated": "2020-10-01",
"certification_date": "2020-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74433",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Www.gritandgracecounseling.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Contact information",
"address_1": "6923 W Loop 1604 N Ste 119",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782542631",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Oct 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.