Active NPI
South Texas Behavioral Group, LLC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1275099509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SOUTH TEXAS BEHAVIORAL GROUP, LLC
- Practice address
- 403 S WW White Rd Ste 218
San Antonio, TX 78219-4249 - Phone
- (210) 334-1407
- Fax
- (866) 248-8533
- NPI assigned
- Feb 12, 2019
- Last updated
- Feb 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sandra Filoteo Teniente, LPC, LCDC
- Title
- Owner/President
- Phone
- (210) 334-1407
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | NU | Primary | |
| Psychologist | 103T00000X | NU |
Addresses
Primary practice location
403 S WW White Rd Ste 218
San Antonio, TX 78219-4249
Mailing address
5403 Kingswood St
Schertz, TX 78108-2503
Phone (210) 334-1407
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 218436803 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
403 S WW White Rd
Ste 218
San Antonio, TX 78219
Phone (210) 334-1407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549929600000",
"number": "1275099509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5403 KINGSWOOD ST",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781082503",
"telephone_number": "210-334-1407",
"fax_number": "866-248-8533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 S WW WHITE RD STE 218",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782194249",
"telephone_number": "210-334-1407",
"fax_number": "866-248-8533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH TEXAS BEHAVIORAL GROUP, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A",
"authorized_official_last_name": "TENIENTE",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "FILOTEO",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "210-334-1407",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPC, LCDC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "218436803",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- South Texas Ancillary Services, LTD
- South Texas Anesthesia Consultants PLLC
- South Texas Anesthesia Group PLLC
- South Texas ASC, LLC (South Texas Surgical Institute)
- South Texas Assisted Living, LLC
- South Texas Behavioral Institute
- South Texas Blood & Tissue Center
- South Texas Cardiology Institute, PLLC
- South Texas Cardiothoracic & Vascular Surgical Associates
- South Texas Cardiovascular Anesthesia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.