Individual provider Active NPI

Marcia Castanon, M.A., LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1336738889
Registry record updated Jan 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
69852 Issued in TX
Practice address
2715 Skybound
San Antonio, TX 78245-4640
Phone
(210) 683-2749
NPI assigned
Jan 11, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2021

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 69852 TX Primary

Addresses

Primary practice location

2715 Skybound
San Antonio, TX 78245-4640

Mailing address

2715 Skybound
San Antonio, TX 78245-4640
Phone (210) 683-2749

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20240118004070 TX Practitioner - Mental Health Counselor 2062864630 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
69852TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heights Counseling Inc. Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600

Organizations & group practices 1

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": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610323200000",
    "number": "1336738889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 SKYBOUND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454640",
            "telephone_number": "210-683-2749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 SKYBOUND",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454640",
            "telephone_number": "210-683-2749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANON",
        "first_name": "MARCIA",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2021-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "69852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.