Individual provider Active NPI

Susan Renee Hartman, LPC,CEAP,NCC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1205819976
Registry record updated Aug 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8700 Issued in TX
Practice address
11120 Wurzbach Rd
Suite 304
San Antonio, TX 78230-2424
Phone
(210) 691-2100
Fax
(210) 691-2110
NPI assigned
Nov 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8700 TX Primary

Addresses

Primary practice location

11120 Wurzbach Rd
Suite 304
San Antonio, TX 78230-2424

Mailing address

11120 Wurzbach Rd
Suite 304
San Antonio, TX 78230-2424
Phone (210) 691-2100

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
I20240122003879 TX Practitioner - Mental Health Counselor 0042662355 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11118 Wurzbach Rd
Suite 205
San Antonio, TX 78230-2448
Phone (210) 691-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8700TXMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1132963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312761600000",
    "number": "1205819976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11120 WURZBACH RD",
            "address_2": "SUITE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302424",
            "telephone_number": "210-691-2100",
            "fax_number": "210-691-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 WURZBACH RD",
            "address_2": "SUITE 304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302424",
            "telephone_number": "210-691-2100",
            "fax_number": "210-691-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "SUSAN",
        "middle_name": "RENEE",
        "credential": "LPC,CEAP,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-26",
        "last_updated": "2011-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "8700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.