Active NPI
Janis Edralin, PHD, LPC-S
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1356715254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64387
- Practice address
- 430 W Sunset Rd Ste 305
San Antonio, TX 78209-1772 - Phone
- (210) 851-9688
- Fax
- (210) 569-6452
- NPI assigned
- Nov 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 64387 | TX | Primary |
Addresses
Primary practice location
430 W Sunset Rd Ste 305
San Antonio, TX 78209-1772
Mailing address
430 W Sunset Rd Ste 305
San Antonio, TX 78209-1772
Phone (210) 851-9688
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2007
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
211 E 7TH St
Suite 620
Austin, TX 78701-3218
535 Mack Ave
Kingsley, MI 49649-9220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64387 | TX | MD | Professional Counselor |
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": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1356715254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W SUNSET RD STE 305",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091772",
"telephone_number": "210-851-9688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W SUNSET RD STE 305",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091772",
"telephone_number": "210-851-9688",
"fax_number": "210-569-6452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDRALIN",
"first_name": "JANIS",
"credential": "PHD, LPC-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-16",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64387",
"primary": true
}
],
"identifiers": [],
"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 Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.