Organization Active NPI

South Texas Behavioral Group, LLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1275099509
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
218436803MedicaidTX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.