NPIMap

Organization Active NPI

Revolution Mental Health Counseling, PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1104354026
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
REVOLUTION MENTAL HEALTH COUNSELING, PLLC
Practice address
7410 Blanco Rd Ste 100
San Antonio, TX 78216-4364
Phone
(210) 607-6864
NPI assigned
May 23, 2017
Last updated
May 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Arisbei Hernandez Palomino, NCC, LPCS, LCDCNPI 1962445833
Title
Member
Phone
(210) 607-6864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

7410 Blanco Rd Ste 100
San Antonio, TX 78216-4364

Mailing address

1150 N Loop 1604 W # 108278
San Antonio, TX 78248-4552

National Provider Directory

National Provider Directory

Locations

7410 Blanco Rd
Ste 100
San Antonio, TX 78216
Phone (210) 366-1662

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": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1104354026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N LOOP 1604 W # 108278",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782484552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 BLANCO RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164364",
            "telephone_number": "210-607-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVOLUTION MENTAL HEALTH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "PALOMINO",
        "authorized_official_first_name": "ARISBEI",
        "authorized_official_middle_name": "HERNANDEZ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "210-607-6864",
        "authorized_official_credential": "NCC, LPCS, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "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 May 23, 2017; 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.