Individual provider Active NPI

Miranda Solis

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1265117931
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75696
Practice address
8207 Callaghan Rd Ste 350
San Antonio, TX 78230-4737
Phone
(210) 538-6335
NPI assigned
Jun 20, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75696 Primary

Addresses

Primary practice location

8207 Callaghan Rd Ste 350
San Antonio, TX 78230-4737

Mailing address

4242 Medical Dr Ste 3200
San Antonio, TX 78229-5642
Phone (210) 485-1943

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
I20231213003801 TX Practitioner - Mental Health Counselor 2466801683 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mendez Counseling Centers, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

4242 Medical Dr
Ste 3200
San Antonio, TX 78229
Phone (210) 418-2094

8207 Callaghan Rd
Ste 350
San Antonio, TX 78230
Phone (210) 418-2094

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1265117931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 MEDICAL DR STE 3200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295642",
            "telephone_number": "210-485-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304737",
            "telephone_number": "210-538-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "MIRANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "75696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.