NPIMap

Organization Active NPI

Omni Layne Counseling, PLLC

  • Group Psychotherapy Psychologist
  • San Antonio, TX
National Provider Identifier
1306952304
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
OMNI LAYNE COUNSELING, PLLC
Practice address
3740 Colony Dr
Suite 122
San Antonio, TX 78230-2290
Phone
(210) 818-1707
Fax
(210) 641-2940
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Diane Layne
Title
Office Manager
Phone
(210) 800-6146

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 6460 TX
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 19744 TX
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 25003 TX
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 27629 TX
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Case Management Agency 251B00000X

Addresses

Primary practice location

3740 Colony Dr
Suite 122
San Antonio, TX 78230-2290

Mailing address

3740 Colony Dr Ste 122
San Antonio, TX 78230-2290
Phone (210) 733-9929

Other identifiers 2

IdentifierTypeStateIssuer
186547902MedicaidTX
429106OtherTXMEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dlayne@therapybiz.onmicrosoft.com Direct
Direct Messaging Address diane@vividbilling.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070531000210 TX Part B Supplier - Clinic/Group Practice 6103924048 Receives reassigned benefits from 11 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

9504 N Ih 35
Ste 206
San Antonio, TX 78233
Phone (210) 733-9929

3875 E Southcross Blvd
Ste D
San Antonio, TX 78222
Phone (210) 733-9929

4242 Woodcock Dr
Ste 208
San Antonio, TX 78228
Phone (210) 733-9929

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1306952304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR STE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302290",
            "telephone_number": "210-733-9929",
            "fax_number": "210-733-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR",
            "address_2": "SUITE 122",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302290",
            "telephone_number": "210-818-1707",
            "fax_number": "210-641-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI LAYNE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "210-800-6146"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "6460",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19744",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "TX",
            "license": "25003",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "27629",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186547902",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "429106",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dlayne@therapybiz.onmicrosoft.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3740 Colony Dr Ste 122",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782302290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "diane@vividbilling.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3740 Colony Dr",
            "address_2": "Suite 122",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782302290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 18, 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.