Individual provider Active NPI

Sharon Ortiz, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1285179259
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76636 Issued in TX
Practice address
3031 W Ih 10
San Antonio, TX 78201-5159
Phone
(210) 261-1000
Fax
(210) 731-8678
NPI assigned
Dec 30, 2016
Last updated
Dec 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 76636 TX Primary

Addresses

Primary practice location

3031 W Ih 10
San Antonio, TX 78201-5159

Mailing address

3031 W Ih 10
San Antonio, TX 78201-5159
Phone (210) 261-1000

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
I20240625003963 TX Practitioner - Mental Health Counselor 4486198983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alba Wellness IncorporatedGroup PAC ID 5092070789, 6 clinicians

Practice addresses (Care Compare)

433 Kitty Hawk Rd
Suite 219
Universal City, TX 78148-3829
Phone (210) 566-1280

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76636TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alba Wellness Incorporated Professional CurrentSince Apr 15, 2024 Accepting new patients
Alba Wellness Case Management LLC PastSince Apr 15, 2024 Accepting new patients

Locations

1800 NE Loop 410
Ste 209
San Antonio, TX 78217
Phone (210) 289-8405

433 Kitty Hawk Rd
Ste 219
Universal Cty, TX 78148
Phone (210) 566-1280

Organizations & group practices 2

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": "1483056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1285179259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015159",
            "telephone_number": "210-261-1000",
            "fax_number": "210-731-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015159",
            "telephone_number": "210-261-1000",
            "fax_number": "210-731-8678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ",
        "first_name": "SHARON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-30",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.