Active NPI
Patricia C Frye, LCDC
- Addiction (Substance Use Disorder) Counselor
- San Antonio, TX
National Provider Identifier
1093474777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2790
- Practice address
- 2015 NE Loop 410
San Antonio, TX 78217-5411 - Phone
- (210) 588-0508
- NPI assigned
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2790 | TX | Primary |
Addresses
Primary practice location
2015 NE Loop 410
San Antonio, TX 78217-5411
Mailing address
12903 Pinewood Park CT
San Antonio, TX 78230-1923
Phone (210) 396-2599
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 |
|---|---|---|---|
| 2790 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639094400000",
"number": "1093474777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12903 PINEWOOD PARK CT",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301923",
"telephone_number": "210-396-2599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 NE LOOP 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175411",
"telephone_number": "210-588-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRYE",
"first_name": "PATRICIA",
"middle_name": "C",
"credential": "LCDC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2021-12-10",
"certification_date": "2021-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "2790",
"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 Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.