Active NPI
Robert C Flinn, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1275760878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62567
- Practice address
- 16607 Blanco Rd Ste 702
San Antonio, TX 78232-1941 - Phone
- (210) 862-6992
- Fax
- (210) 468-0679
- NPI assigned
- Jun 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62567 | TX | Primary |
Addresses
Primary practice location
16607 Blanco Rd Ste 702
San Antonio, TX 78232-1941
Mailing address
20402 Grail Quest
San Antonio, TX 78258-3308
Phone (210) 862-6992
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62567 | Other | TX | TX LPC LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 62567 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Flinn, PLLC | Professional | 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.
-
- Professional Counselor
- San Antonio, TX
- NPI 1205126331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513987200000",
"number": "1275760878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20402 GRAIL QUEST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583308",
"telephone_number": "210-862-6992",
"fax_number": "210-468-0679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16607 BLANCO RD STE 702",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321941",
"telephone_number": "210-862-6992",
"fax_number": "210-468-0679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLINN",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-22",
"last_updated": "2017-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62567",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LPC LICENSE",
"identifier": "62567",
"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 Dec 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.