Kay Pergrem

Key facts

NPI

1134534019

Entity type

Individual (NPI type 1)

Primary specialty

Professional Counselor 101YP2500X

License

13387 (TX)

Practice address

16350 Blanco Road
Suite 111
San Antonio, TX 78232

Phone

(210) 326-0922

NPI assigned

Jun 30, 2014

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 30, 2014.

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404086400000",
    "number": "1134534019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11059 MOONLIT PARK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78249",
            "telephone_number": "210-690-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16350 BLANCO ROAD",
            "address_2": "SUITE 111",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-326-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERGREM",
        "first_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "13387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

• Performance Republic, PLLC
• Performance Therapeutics - San Antonio PLLC
• Performance Therapeutics - San Antonio PLLC
• Performance Therapeutics San Antonio Westover, PLLC
• Pablo Ezequiel Pergola, MD
• Katarina Morgan Perguson
• Perin Gomer Suthakar MD
• Perinatal & Infertility Specialists PA
• Peripheral Vascular Associates, P.a.
• Cindy Carol Perkins-Wereley, L.C.S.W.

All providers in San Antonio, TX · Professional Counselor in Texas