Mary Jane Natividad Professional Counseling Services, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19403 Issued in TX

Legal business name

MARY JANE NATIVIDAD PROFESSIONAL COUNSELING SERVICES, INC.

Practice address

7627 Derby Run
Schertz, TX 78154-3936

Phone

(210) 325-6874

NPI assigned

Aug 7, 2013

Organization subpart

No

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

Authorized official

Name

Mary Jane Natividad, LPC-S

Title

Owner

Phone

(210) 325-6874

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Jane Natividad, MED LPC

  • Counselor
  • San Antonio, TX
  • NPI 1588753925

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1275965667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7627 DERBY RUN",
            "city": "SELMA",
            "state": "TX",
            "postal_code": "781543936",
            "telephone_number": "210-325-6874",
            "fax_number": "210-267-9072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7627 DERBY RUN",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543936",
            "telephone_number": "210-325-6874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3231 El Paso St",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782074607",
            "country_code": "US",
            "telephone_number": "210-325-6874",
            "fax_number": "210-267-9072",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Sonterra Blvd Ste 375",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584321",
            "country_code": "US",
            "telephone_number": "210-325-6874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARY JANE NATIVIDAD PROFESSIONAL COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-12",
        "status": "A",
        "authorized_official_last_name": "NATIVIDAD",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-325-6874",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178701201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Michelle Martinez, DPT
• Anna Isabel Martinez, MHNP
• Eddy Martinez Jr., PTA
• Izabelle Marie Martinez
• Julia Marie Martinez
• John M. Massoud, MD
• Aileen Mata
• Erica Mays, LCSW
• Nicolas Jose Maza, DPT
• Grace Mburu

• Professional Counselor in Schertz, TX
• Providers in Schertz, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.

Verify at the official NPI Registry.