Individual provider Active NPI

Julian Spain-Ledezma, LMFT-ASSOCIATE

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1144054594
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205643 Issued in TX
Practice address
16607 Blanco Rd Ste 701
San Antonio, TX 78232-1941
Phone
(201) 802-7778
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 205643 TX Primary

Addresses

Primary practice location

16607 Blanco Rd Ste 701
San Antonio, TX 78232-1941

Mailing address

16607 Blanco Rd Ste 701
San Antonio, TX 78232-1941
Phone (210) 526-2050

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
205643TXMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Align Couples Therapy LLC Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

16607 Blanco Rd
Ste 701
San Antonio, TX 78232
Phone (210) 255-0923

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1144054594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 701",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321941",
            "telephone_number": "210-526-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 701",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321941",
            "telephone_number": "201-802-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPAIN-LEDEZMA",
        "first_name": "JULIAN",
        "credential": "LMFT-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205643",
            "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 7, 2024; 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.