Individual provider Active NPI

Calleen Mary Friedel, M.S.L.M.F.T.C.E.A.P.

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1205136603
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
4734 Issued in TX
Practice address
6321 Robinsnest
San Antonio, TX 78249-2129
Phone
(210) 376-7236
Fax
(210) 598-1910
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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 4734 TX Primary

Addresses

Primary practice location

6321 Robinsnest
San Antonio, TX 78249-2129

Mailing address

6321 Robinsnest
San Antonio, TX 78249-2129
Phone (210) 376-7236

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
I20250107000429 TX Practitioner - Marriage and Family Therapist 7517495468 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Antonio, TX 78249
Phone (210) 376-7236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4734TXMDInternist Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1288569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1205136603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 ROBINSNEST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492129",
            "telephone_number": "210-376-7236",
            "fax_number": "210-598-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6321 ROBINSNEST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492129",
            "telephone_number": "210-376-7236",
            "fax_number": "210-598-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDEL",
        "first_name": "CALLEEN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.S.L.M.F.T.C.E.A.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-01",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.