Individual provider Active NPI

Marisa M Vasquez Garcia, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1184299315
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
81473 Issued in TX
Practice address
17503 La Cantera Pkwy
Ste 104 PMB 293
San Antonio, TX 78257-8207
Phone
(210) 564-9116
Fax
(210) 564-9087
NPI assigned
May 20, 2021
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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 81473 TX Primary

Addresses

Primary practice location

17503 La Cantera Pkwy
Ste 104 PMB 293
San Antonio, TX 78257-8207

Mailing address

17503 La Cantera Pkwy
Ste 104 PMB 293
San Antonio, TX 78257-8207
Phone (210) 564-9116

Other names 1

  • Marisa M Vasquez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002898 TX Practitioner - Mental Health Counselor 9931559598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Sight LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

14310 Northbrook Dr
Ste 260
San Antonio, TX 78232
Phone (210) 564-9116

17503 La Cantera Pkwy
#104293
San Antonio, TX 78257
Phone (210) 564-9116

4203 Woodcock Dr
Ste 216
San Antonio, TX 78228
Phone (210) 564-9116

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1184299315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "STE 104 PMB 293",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-564-9116",
            "fax_number": "210-564-9087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "STE 104 PMB 293",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-564-9116",
            "fax_number": "210-564-9087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ GARCIA",
        "first_name": "MARISA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "VASQUEZ",
            "middle_name": "M",
            "credential": "LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.