Individual provider Active NPI

Kathleen Palmer, LPC INTERN

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1306107016
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69072 Issued in TX
Practice address
3611 Jaguar Pkwy
San Antonio, TX 78224-3271
Phone
(726) 236-9560
Fax
(210) 702-6896
NPI assigned
May 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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 69072 TX Primary

Addresses

Primary practice location

3611 Jaguar Pkwy
San Antonio, TX 78224-3271

Mailing address

3611 Jaguar Pkwy
San Antonio, TX 78224-3271
Phone (726) 236-9560

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
I20260316002044 TX Practitioner - Mental Health Counselor 2769965920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

903 W Martin St
San Antonio, TX 78207-0903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69072TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medicine Associates CurrentSince Mar 9, 2026 Accepting new patients
Nueva Vida Behavioral Health Associates,Inc Professional Past Accepting new patients
Alamo Area Family & Geriatric Medicine Associates, PA Past Accepting new patients

Locations

3611 Jaguar Pkwy
San Antonio, TX 78224
Phone (726) 236-9500

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1306107016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 JAGUAR PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782243271",
            "telephone_number": "726-236-9560",
            "fax_number": "210-702-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 JAGUAR PKWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782243271",
            "telephone_number": "726-236-9560",
            "fax_number": "210-702-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KATHLEEN",
        "credential": "LPC INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.