Individual provider Active NPI

Juan Lumbreras, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1215375787
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68161 Issued in TX
Practice address
702 San Pedro Ave
San Antonio, TX 78212-4610
Phone
(210) 299-2406
Fax
(210) 270-0545
NPI assigned
Jun 6, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 68161 TX
Professional Counselor 101YP2500X 68161 TX Primary

Addresses

Primary practice location

702 San Pedro Ave
San Antonio, TX 78212-4610

Mailing address

118 E Dimmit St
Crystal City, TX 78839-3506
Phone (830) 775-5100

Other identifiers 1

IdentifierTypeStateIssuer
322023802MedicaidTX

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
I20260507002717 TX Practitioner - Mental Health Counselor 6507334570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

600 S 8TH St
Carrizo Springs, TX 78834-3821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68161TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service Association of San Antonio, Inc. Professional CurrentSince Apr 30, 2026 Accepting new patients

Locations

118 E Dimmit St
Crystal City, TX 78839
Phone (830) 374-0460

401 W Zavala St
Unit B
Crystal City, TX 78839
Phone (830) 374-0460

702 San Pedro Ave
San Antonio, TX 78212
Phone (210) 299-2400

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1215375787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E DIMMIT ST",
            "city": "CRYSTAL CITY",
            "state": "TX",
            "postal_code": "788393506",
            "telephone_number": "830-775-5100",
            "fax_number": "830-775-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124610",
            "telephone_number": "210-299-2406",
            "fax_number": "210-270-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUMBRERAS",
        "first_name": "JUAN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-06",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68161",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322023802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.