Individual provider Active NPI

Jennifer L. Romero, M.A., LPC, NCC, BCBA

  • Behavior Analyst
  • San Antonio, TX
National Provider Identifier
1225306186
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-15-18714 Issued in TX
Practice address
21118 Market RDG
San Antonio, TX 78258-4984
Phone
(210) 874-2074
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-15-18714 TX Primary
Professional Counselor 101YP2500X 65245 TX

Addresses

Primary practice location

21118 Market RDG
San Antonio, TX 78258-4984

Mailing address

21118 Market RDG
San Antonio, TX 78258-4984
Phone (210) 874-2074

Other practice location 1

1380 River Bend Dr
Dallas, TX 75247-4914
Phone (214) 743-6159

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
65245TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1225306186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21118 MARKET RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584984",
            "telephone_number": "210-874-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21118 MARKET RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584984",
            "telephone_number": "210-874-2074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 River Bend Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752474914",
            "country_code": "US",
            "telephone_number": "214-743-6159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "M.A., LPC, NCC, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "TX",
            "license": "1-15-18714",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.