Active NPI
The McCullough Center for Mental Health Services Inc
Doing business as McCullough Center For Mental Health Services
- Mental Health Counselor
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19585
- Legal business name
- THE MCCULLOUGH CENTER FOR MENTAL HEALTH SERVICES INC
- Doing business as
- McCullough Center For Mental Health Services
- Practice address
- 2515 McCullough Ave Ste 101
San Antonio, TX 78212-3585 - Phone
- (210) 736-1762
- Fax
- (210) 736-3156
- NPI assigned
- May 16, 2008
- Last updated
- Apr 16, 2025
- 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
- Ceasar Garza, LPC
- Title
- President
- Phone
- (210) 736-1762
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 19585 | TX | Primary |
| Professional Counselor | 101YP2500X |
Addresses
Primary practice location
2515 McCullough Ave Ste 101
San Antonio, TX 78212-3585
Mailing address
2515 McCullough Ave Ste 101
San Antonio, TX 78212-3585
Phone (210) 736-1762
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 198721601 | Medicaid | TX | |
| 1477521904 | Other | INDIVIDUAL NPI | |
| 174358502 | Medicaid | TX | |
| 198721602 | Medicaid | TX | |
| 909681 | Other | MEDICARE | |
| 1275790438 | Other | GROUP NPI |
Other names 1
- McCullough Center For Mental Health Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2515 McCullough Ave
Ste 101
San Antonio, TX 78212
Phone (210) 736-1762
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- San Antonio, TX
- NPI 1477521904
-
- Professional Counselor
- San Antonio, TX
- NPI 1134644701
Mental Health
-
- Professional Counselor
- San Antonio, TX
- NPI 1184980666
-
- Professional Counselor
- San Antonio, TX
- NPI 1932370020
Mental Health
-
- Professional Counselor
- San Antonio, TX
- NPI 1922254424
-
- Cognitive & Behavioral Psychologist
- San Antonio, TX
- NPI 1346218765
-
- Professional Counselor
- San Antonio, TX
- NPI 1063566180
-
- Marriage & Family Therapist
- Houston, TX
- NPI 1417595489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744761600000",
"number": "1275790438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 MCCULLOUGH AVE STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123585",
"telephone_number": "210-736-1762",
"fax_number": "210-736-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 MCCULLOUGH AVE STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782123585",
"telephone_number": "210-736-1762",
"fax_number": "210-736-3156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE MCCULLOUGH CENTER FOR MENTAL HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-16",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A",
"authorized_official_last_name": "GARZA",
"authorized_official_first_name": "CEASAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "210-736-1762",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "19585",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198721601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1477521904",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "174358502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198721602",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "909681",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1275790438",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "McCullough Center For Mental Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.