Organization Active NPI

Omni Therapy Center

  • Professional Counselor
  • Del Rio, TX
National Provider Identifier
1265793855
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66628 Issued in TX
Legal business name
OMNI THERAPY CENTER
Practice address
2116 Veterans Blvd
Suite 3
Del Rio, TX 78840-3042
Phone
(830) 734-7732
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Mr. Samuel Garcia Sr., LPCNPI 1891056305
Title
Ceo/Lead Counselor
Phone
(830) 734-7732

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 66628 TX
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 66628 TX Primary

Addresses

Primary practice location

2116 Veterans Blvd
Suite 3
Del Rio, TX 78840-3042

Mailing address

2116 Veterans Blvd
Suite 3
Del Rio, TX 78840-3042
Phone (830) 734-7732

National Provider Directory

National Provider Directory

Locations

2116 Veterans Blvd
Ste 3
Del Rio, TX 78840
Phone (830) 734-7732

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1265793855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 VETERANS BLVD",
            "address_2": "SUITE 3",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403042",
            "telephone_number": "830-734-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 VETERANS BLVD",
            "address_2": "SUITE 3",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788403042",
            "telephone_number": "830-734-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO/LEAD COUNSELOR",
        "authorized_official_telephone_number": "830-734-7732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "66628",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.