Active NPI
Susan Meryl Bayne, LPC, LMFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1285643643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 611
- Practice address
- 12 Tanner Woods
San Antonio, TX 78248-1628 - Phone
- (210) 394-9161
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 09241 | TX | |
| Marriage & Family Therapist | 106H00000X | 611 | TX | Primary |
Addresses
Primary practice location
12 Tanner Woods
San Antonio, TX 78248-1628
Mailing address
12 Tanner Woods
San Antonio, TX 78248-1628
Phone (210) 394-9161
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154226802 | Medicaid | TX | |
| 128893 | Other | TX | MANAGED HEALTH NETWORK |
| 9259574 | Other | TX | PHCS |
| 044980 | Other | TX | VALUE OPTIONS |
| 1507LC | Other | TX | BC/BS |
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 |
|---|---|---|---|
| 09241 | TX | MD | Professional Counselor |
| 611 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339632000000",
"number": "1285643643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 TANNER WOODS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782481628",
"telephone_number": "210-394-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 TANNER WOODS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782481628",
"telephone_number": "210-394-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYNE",
"first_name": "SUSAN",
"middle_name": "MERYL",
"name_prefix": "Ms.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2012-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "09241",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "611",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154226802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "128893",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9259574",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "044980",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "1507LC",
"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 Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.