Individual provider Active NPI

Vanessa Sentha Wattnem, LMFTA

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1235956319
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205491 Issued in TX
Practice address
8000 Donore PL Apt 58
San Antonio, TX 78229-2681
Phone
(737) 222-3366
NPI assigned
Sep 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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 205491 TX Primary

Addresses

Primary practice location

8000 Donore PL Apt 58
San Antonio, TX 78229-2681

Mailing address

23515 NE Novelty Hill Rd Ste B221
Redmond, WA 98053-1996
Phone (737) 222-3366

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

LicenseStateTypeSpecialty
205491TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1726790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1235956319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23515 NE NOVELTY HILL RD STE B221",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980531996",
            "telephone_number": "737-222-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 DONORE PL APT 58",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292681",
            "telephone_number": "737-222-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTNEM",
        "first_name": "VANESSA",
        "middle_name": "SENTHA",
        "credential": "LMFTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-20",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205491",
            "primary": true
        }
    ],
    "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 Sep 20, 2024; 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.