Active NPI
Melissa Cassandra Stephenson, NP-C
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP138382
- Practice address
- 22202 Bulverde Rd
San Antonio, TX 78261-3080 - Phone
- (210) 497-0353
- NPI assigned
- Mar 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP138382 | TX | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP138382 | TX | Primary |
Addresses
Primary practice location
22202 Bulverde Rd
San Antonio, TX 78261-3080
Mailing address
22202 Bulverde Rd
San Antonio, TX 78261-3080
Phone (210) 497-0353
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Cvs.com | Other | |
| CONNECT URL | cvs.com | Other |
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
430 W Sunset Rd
Suite 400
San Antonio, TX 78209-1772
Phone (844) 824-8775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP138382 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Behavioral Health, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Senior Psychcare of San Antonio I, PLLC | Nurse Practitioner | Current | Accepting new patients |
Locations
1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900
4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777
12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078
4314 Yoakum Blvd
Houston, TX 77006
Phone 7138500049207
23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500
5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815
222 Bertetti Dr
San Antonio, TX 78227
Phone (210) 673-1700
430 W Sunset Rd
Ste 400
San Antonio, TX 78209
Phone (210) 858-9078
2003 W Hutchins Pl
San Antonio, TX 78224
Phone (210) 927-0800
Interoperability endpoints
- lifestancehealth.melissastephenson@136732.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
Psychiatric/Mental Health
-
- Psychiatry Physician
- Houston, TX
- NPI 1225324270
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718928000000",
"number": "1194282749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22202 BULVERDE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782613080",
"telephone_number": "210-497-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22202 BULVERDE RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782613080",
"telephone_number": "210-497-0353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENSON",
"first_name": "MELISSA",
"middle_name": "CASSANDRA",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-01",
"last_updated": "2024-06-21",
"certification_date": "2024-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP138382",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP138382",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Cvs.com",
"affiliation": "N",
"endpointDescription": "Cvs",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Minute clinic",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "No",
"address_1": "120 E Sonterra Blvd",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782583982",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "cvs.com",
"affiliation": "N",
"endpointDescription": "cvs",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "minute clinic",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "minute clinic",
"address_1": "22202 Bulverde Rd",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782613080",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.