Clayton A Sponhaltz, LCDC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11230 Issued in TX

Practice address

4115 Medical Dr
San Antonio, TX 78229-5657

Phone

(210) 413-3180

NPI assigned

Nov 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1336785278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25675 GREEN RIVER DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782606450",
            "telephone_number": "210-413-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295657",
            "telephone_number": "210-413-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPONHALTZ",
        "first_name": "CLAYTON",
        "middle_name": "A",
        "credential": "LCDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://sponhaltz.wixsite.com/txinterventions",
            "affiliation": "N",
            "endpointDescription": "professional website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4115 Medical Dr",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782295657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Richard Spitz, M.D.
• Robert Loren Spitzmesser, ATP
• Lisa Spivey, FNP
• Splendid Living Primary Home Care, LLC
• Lynn Spomer, LPC
• Kelly James Sponhaltz, P.A.
• William E Sponsel, M.D.
• Lauren M Sport
• Sports Medicine Associates of San Antonio
• Sports Medicine Associates of San Antonio, PA

• Addiction (Substance Use Disorder) Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.