Organization Active NPI

Supportive Psychological Associates, PLLC

Doing business as Spa, PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1144836412
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SUPPORTIVE PSYCHOLOGICAL ASSOCIATES, PLLC
Doing business as
Spa, PLLC
Supportive Psychological Associates
Practice address
3740 Colony Dr Ste 122
San Antonio, TX 78230-2290
Phone
(210) 416-4238
NPI assigned
Sep 21, 2020
Last updated
Sep 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Authorized official

Name
Rene Lucio
Title
Administrator
Phone
(956) 215-6735

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

3740 Colony Dr Ste 122
San Antonio, TX 78230-2290

Mailing address

5434 Timber Trace St
San Antonio, TX 78250-4442
Phone (956) 215-6735

Other practice location 1

3201 Cherry Ridge Dr # B244
San Antonio, TX 78230-4823
Phone (833) 772-6563

Other identifiers 1

IdentifierTypeStateIssuer
468723801MedicaidTX

Other names 2

  • SPA, PLLC Doing business as
  • Supportive Psychological Associates Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address administration@spallc.net Direct
Direct Messaging Address Administration@spallc.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240404003080 TX Part B Supplier - Clinic/Group Practice 5597103838 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

3201 Cherry Ridge Dr
#B224
San Antonio, TX 78230
Phone (956) 215-6735

3201 Cherry Ridge Dr
#B244
San Antonio, TX 78230
Phone (833) 772-6463

3740 Colony Dr
San Antonio, TX 78230
Phone (210) 488-4094

Practitioners & affiliated clinicians

Practitioners 2

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": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1144836412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5434 TIMBER TRACE ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782504442",
            "telephone_number": "956-215-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302290",
            "telephone_number": "210-416-4238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3201 Cherry Ridge Dr # B244",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782304823",
            "country_code": "US",
            "telephone_number": "833-772-6563",
            "fax_number": "210-310-3619",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUPPORTIVE PSYCHOLOGICAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "LUCIO",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "956-215-6735"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "468723801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "administration@spallc.net",
            "affiliation": "N",
            "endpointDescription": "administration@spallc.net",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3201 Cherry Ridge Dr # B244",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782304823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Administration@spallc.net",
            "affiliation": "N",
            "address_1": "3740 Colony Dr Ste 122",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782302290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SPA, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Supportive Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.