Active NPI
David S Eaton, LPC, LMHC, CCMHC
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1316296262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 80764
- Practice address
- 6333 Dezavala Rd
Suite B101
San Antonio, TX 78249 - Phone
- (210) 399-4838
- NPI assigned
- Sep 6, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004166 | NY | |
| Mental Health Counselor | 101YM0800X | 80764 | TX | Primary |
Addresses
Primary practice location
6333 Dezavala Rd
Suite B101
San Antonio, TX 78249
Mailing address
515 Mission Viejo
San Antonio, TX 78232-2779
Phone (910) 574-1066
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 |
|---|---|---|---|
| 80764 | TX | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1316296262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MISSION VIEJO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782322779",
"telephone_number": "910-574-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6333 DEZAVALA RD",
"address_2": "SUITE B101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78249",
"telephone_number": "210-399-4838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "DAVID",
"middle_name": "S",
"credential": "LPC, LMHC, CCMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-06",
"last_updated": "2023-10-24",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004166",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "80764",
"primary": true
}
],
"identifiers": [],
"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 Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.