Organization Active NPI

Ceremonial Counseling PLLC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1093690349
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CEREMONIAL COUNSELING PLLC
Practice address
8622 Crownhill Blvd Ste 204
San Antonio, TX 78209-1135
Phone
(210) 201-5525
NPI assigned
Aug 6, 2025
Last updated
Aug 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Authorized official

Name
Samantha Sherrill, LPCNPI 1083499404
Title
Licensed Professional Counselor
Phone
(210) 201-5525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

8622 Crownhill Blvd Ste 204
San Antonio, TX 78209-1135

Mailing address

8622 Crownhill Blvd Ste 204
San Antonio, TX 78209-1135
Phone (210) 201-5525

National Provider Directory

National Provider Directory

Locations

8622 Crownhill Blvd
Ste 204
San Antonio, TX 78209
Phone (210) 201-5525

Practitioners & affiliated clinicians

Practitioners 1

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": "1754438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754438400000",
    "number": "1093690349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8622 CROWNHILL BLVD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091135",
            "telephone_number": "210-201-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8622 CROWNHILL BLVD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091135",
            "telephone_number": "210-201-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEREMONIAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "210-201-5525",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Aug 6, 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.