Individual provider Active NPI

Erica Divine, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1346072444
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84589 Issued in TX
Practice address
12500 NW Military Hwy Ste 250
San Antonio, TX 78231-2000
Phone
(210) 302-6920
Fax
(210) 302-6952
NPI assigned
Aug 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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 84589 TX Primary

Addresses

Primary practice location

12500 NW Military Hwy Ste 250
San Antonio, TX 78231-2000

Mailing address

12500 NW Military Hwy Ste 250
San Antonio, TX 78231-2000
Phone (210) 302-6920

Other practice location 1

6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445
Phone (210) 769-3811

Other names 1

  • Erica Rae Morgan Former name

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
I20240906002432 TX Practitioner - Mental Health Counselor 7719427673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of San Antonio Texas IncGroup PAC ID 8325951155, 5 clinicians

Practice addresses (Care Compare)

12500 NW Military Hwy
Suite 250
San Antonio, TX 78231-2000
Phone (210) 302-6920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
84589TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of San Antonio Texas Inc. Professional CurrentSince Aug 1, 2024 Accepting new patients
Carol Albert PastSince Aug 1, 2024 Accepting new patients

Locations

12500 NW Military Hwy
Ste 250
San Antonio, TX 78231
Phone (210) 302-6920

Organizations & group practices 2

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": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1346072444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312000",
            "telephone_number": "210-302-6920",
            "fax_number": "210-302-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 NW MILITARY HWY STE 250",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782312000",
            "telephone_number": "210-302-6920",
            "fax_number": "210-302-6952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6502 Bandera Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782381445",
            "country_code": "US",
            "telephone_number": "210-769-3811",
            "fax_number": "210-634-2517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIVINE",
        "first_name": "ERICA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERICA",
            "last_name": "MORGAN",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.