NPIMap

Organization Active NPI

Diana R. Galvan, PLLC

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1326319898
Registry record updated Jan 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
001346 Issued in TX
Legal business name
DIANA R. GALVAN, PLLC
Practice address
11122 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2573
Phone
(210) 699-0345
Fax
(210) 699-0377
NPI assigned
Jan 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2012

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

Authorized official

Name
Diana R. Galvan, MA, LMFT, LPCNPI 1548327109
Title
Governing Person
Phone
(210) 699-0345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 8572 TX
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 8572 TX
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 001346 TX Primary

Addresses

Primary practice location

11122 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2573

Mailing address

11122 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2573
Phone (210) 699-0345

Other identifiers 4

IdentifierTypeStateIssuer
0263113-02MedicaidTX
2648392OtherTXAETNA
128640OtherTXMHN
2979LCOtherTXBLUE CROSS/ BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

11122 Wurzbach Rd
Ste 301
San Antonio, TX 78230
Phone (210) 669-0345

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1326585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326585600000",
    "number": "1326319898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11122 WURZBACH RD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302573",
            "telephone_number": "210-699-0345",
            "fax_number": "210-699-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11122 WURZBACH RD",
            "address_2": "SUITE 301",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302573",
            "telephone_number": "210-699-0345",
            "fax_number": "210-699-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA R. GALVAN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-15",
        "last_updated": "2012-01-15",
        "status": "A",
        "authorized_official_last_name": "GALVAN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "GOVERNING PERSON",
        "authorized_official_telephone_number": "210-699-0345",
        "authorized_official_credential": "MA, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "8572",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "8572",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "001346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0263113-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2648392",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "128640",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ BLUE SHIELD",
            "identifier": "2979LC",
            "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 Jan 15, 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.

Verify at the official NPI Registry.