Individual provider Active NPI

Maria Leticia Marcon, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1114377181
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71815 Issued in TX
Practice address
1380 Pantheon Way
Suite 150
San Antonio, TX 78232-2288
Phone
(210) 317-8520
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 71815 TX Primary

Addresses

Primary practice location

1380 Pantheon Way
Suite 150
San Antonio, TX 78232-2288

Mailing address

4922 Corian Well Dr
San Antonio, TX 78247-5905
Phone (407) 617-1864

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

LicenseStateTypeSpecialty
71815TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Venus Springs Advocates for Community Enrichment, LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1114377181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922 CORIAN WELL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475905",
            "telephone_number": "407-617-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PANTHEON WAY",
            "address_2": "SUITE 150",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322288",
            "telephone_number": "210-317-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCON",
        "first_name": "MARIA",
        "middle_name": "LETICIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71815",
            "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 Jun 20, 2016; 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.