Individual provider Active NPI

Melody Nait Sidenas, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1275241283
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90276 Issued in TX
Practice address
900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407
Phone
(210) 822-2600
Fax
(210) 822-2685
NPI assigned
Nov 8, 2022
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 90276 TX
Professional Counselor 101YP2500X 90276 TX Primary

Addresses

Primary practice location

900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407

Mailing address

7912 Maple Leaf
San Antonio, TX 78254-5484
Phone (907) 250-2392

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628000298 TX Practitioner - Mental Health Counselor 3274077433 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heights Counseling Inc. Counselor CurrentSince Jun 19, 2024 Accepting new patients

Locations

900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1275241283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 MAPLE LEAF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545484",
            "telephone_number": "907-250-2392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE LOOP 410 STE D200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091407",
            "telephone_number": "210-822-2600",
            "fax_number": "210-822-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAIT SIDENAS",
        "first_name": "MELODY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-08",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "90276",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.