Individual provider Active NPI

Rogelio Jose Perez, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1326583709
Registry record updated Mar 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55928 Issued in TX
Practice address
4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325
Phone
(210) 481-8673
Fax
(210) 314-2480
NPI assigned
Dec 21, 2016
Last updated
Mar 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 55928 TX Primary

Addresses

Primary practice location

4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325

Mailing address

4242 Woodcock Dr Ste 201
San Antonio, TX 78228-1325
Phone (210) 481-8673

Other practice location 1

231 Landa St
New Braunfels, TX 78130-7934
Phone (210) 481-8673

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
I20170304000085 TX Practitioner - Clinical Social Worker 9234413584 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
San Antonio Authentic Counseling LLCGroup PAC ID 8325438518, 3 clinicians

Practice addresses (Care Compare)

4100 E Piedras Dr
Suite 265
San Antonio, TX 78228-1426
Phone (210) 480-3995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Authentic Counseling LLC Clinical CurrentSince Mar 16, 2024 Accepting new patients
Turning Point Associates Incorporated CurrentSince Jul 11, 2022 Accepting new patients
Cantera Psychiatry, PLLC PastSince Feb 1, 2017 Accepting new patients

Locations

4100 E Piedras Dr
Ste 265
San Antonio, TX 78228
Phone (210) 480-3995

8213 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 614-3369

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1326583709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 WOODCOCK DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281325",
            "telephone_number": "210-481-8673",
            "fax_number": "210-314-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 WOODCOCK DR STE 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281325",
            "telephone_number": "210-481-8673",
            "fax_number": "210-314-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 Landa St",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781307934",
            "country_code": "US",
            "telephone_number": "210-481-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROGELIO",
        "middle_name": "JOSE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-21",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.