Active NPI
Courtney Proffitt
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1205914934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 5197
- Practice address
- 909 NE Loop 410
Suite 800
San Antonio, TX 78209-1311 - Phone
- (210) 832-5000
- Fax
- (210) 832-5005
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18971 | TX | |
| Marriage & Family Therapist | 106H00000X | 5197 | TX | Primary |
Addresses
Primary practice location
909 NE Loop 410
Suite 800
San Antonio, TX 78209-1311
Mailing address
909 NE Loop 410
Suite 800
San Antonio, TX 78209-1311
Phone (210) 832-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1677031 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5197 | TX | MD | Marriage & Family Therapist |
| 18971 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205914934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 NE LOOP 410",
"address_2": "SUITE 800",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091311",
"telephone_number": "210-832-5000",
"fax_number": "210-832-5005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 NE LOOP 410",
"address_2": "SUITE 800",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091311",
"telephone_number": "210-832-5000",
"fax_number": "210-832-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFFITT",
"first_name": "COURTNEY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "18971",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "5197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1677031",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Professional Therapy Services of Texas, Inc
- Professional Vision Care, P.C.
- Professional Wound Care Services, P.a.
- Professionals Associated for Children'S Benefit
- Professionals in Dentistry, PA
- Proficient Care Medical Supplies
- Progessive Life
- Progressing Minds, PLLC
- Progressive Care LLC
- Progressive Home Care Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.