Kenneth Richard Surley, CMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1380 Pantheon Way # 310
San Antonio, TX 78232-2288

Phone

(210) 697-8191

Fax

(210) 404-9466

NPI assigned

Jun 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Community Mental Health

  • Mental Health Counselor
  • San Antonio, TX
  • NPI 1518092212
  NPD (past)

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1265728364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28116 ROYAL ASCOT DR",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154652",
            "telephone_number": "210-854-9819",
            "fax_number": "210-404-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 PANTHEON WAY # 310",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322288",
            "telephone_number": "210-697-8191",
            "fax_number": "210-404-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURLEY",
        "first_name": "KENNETH",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "CMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakshmi Anandini Suri, MD
• Rajeev Suri, MD
• Orlando J Suris, M.D.
• Claudia Surita, RN
• Melissa Surkamer, LCDC
• Katie Surls, D.C.
• Emily Surratt
• Gundlapalli Surya Sr., MD
• Durga Suryadevara, MD
• Susan D Odom PHD PC

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.