Individual provider Active NPI

Preston Maverick McNeel, M.A., LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1255371829
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17720 Issued in TX
Practice address
7254 Blanco Rd Ste 204
7254 Blanco Rd Ste 204
San Antonio, TX 78216-4930
Phone
(210) 884-8444
Fax
(830) 386-0030
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 17720 TX
Mental Health Counselor 101YM0800X 17720 TX Primary

Addresses

Primary practice location

7254 Blanco Rd Ste 204
7254 Blanco Rd Ste 204
San Antonio, TX 78216-4930

Mailing address

7254 Blanco Rd Ste 204
7254 Blanco Rd Ste 204
San Antonio, TX 78216-4930
Phone (210) 884-8444

Other identifiers 2

IdentifierTypeStateIssuer
156696001MedicaidTX
6703LCOtherTXBCBS OF TEXAS

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
I20240326002610 TX Practitioner - Mental Health Counselor 8820435894 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17720TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1255371829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 204",
            "address_2": "7254 BLANCO RD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-884-8444",
            "fax_number": "830-386-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7254 BLANCO RD STE 204",
            "address_2": "7254 BLANCO RD STE 204",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782164930",
            "telephone_number": "210-884-8444",
            "fax_number": "830-386-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNEEL",
        "first_name": "PRESTON",
        "middle_name": "MAVERICK",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17720",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156696001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "6703LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.