Individual provider Active NPI

Edward M Flatow, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1265742050
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
64287 Issued in TX
Practice address
10010 San Pedro Ave
Suite 610
San Antonio, TX 78216-3862
Phone
(210) 979-0202
Fax
(210) 222-8030
NPI assigned
Oct 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 64287 TX Primary

Addresses

Primary practice location

10010 San Pedro Ave
Suite 610
San Antonio, TX 78216-3862

Mailing address

9406 Ipswich
San Antonio, TX 78254-2058
Phone (210) 389-0276

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
64287TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Third Day Counseling Services, PLLC Mental Health Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1265742050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9406 IPSWICH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542058",
            "telephone_number": "210-389-0276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 SAN PEDRO AVE",
            "address_2": "SUITE 610",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782163862",
            "telephone_number": "210-979-0202",
            "fax_number": "210-222-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATOW",
        "first_name": "EDWARD",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64287",
            "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 Oct 14, 2010; 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.