Imagine Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

IMAGINE COUNSELING LLC

Practice address

4081 Dezavala Rd
Suite 1
San Antonio, TX 78249-2082

Phone

(210) 479-9300

Fax

(210) 479-9300

NPI assigned

Apr 3, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Del Carmen Mejia-Desatnik, LCSWNPI 1043308406

Title

Manager

Phone

(210) 479-9300

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Maria Del Carmen Mejia-Desatnik, LCSW

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1043308406
  Authorized official Same address or phone

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

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1194068585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 782503",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782782503",
            "telephone_number": "210-479-9300",
            "fax_number": "210-479-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4081 DEZAVALA RD",
            "address_2": "SUITE 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492082",
            "telephone_number": "210-479-9300",
            "fax_number": "210-479-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "MEJIA-DESATNIK",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DEL CARMEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "210-479-9300",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheongin Im, PHD, MSN, RN
• Joshua Im
• Stephen S. Im, M.D.
• Imagdent
• Imagdent San Antonio LLC (iMagDent San Antonio)
• Imagine Therapies, LLC
• Imaging Partners of San Antonio, LLLP (The Imaging Centre at the Quarry)
• Haidar Imam, DDS
• Mohamed Imam, DDS
• Erin Imburgia

• Clinical Social Worker in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.