Active NPI
Alexander Boupha Knipe, LCSW
- Clinical Social Worker
- San Antonio, TX
National Provider Identifier
1356759229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7642-C
- Practice address
- 9939 Texas 151 Access Road
San Antonio, TX 78251 - Phone
- (210) 706-8078
- NPI assigned
- Jul 23, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 7642-C | NV | Primary |
Addresses
Primary practice location
9939 Texas 151 Access Road
San Antonio, TX 78251
Mailing address
9939 Texas 151 Access Road
San Antonio, TX 78251
Phone (210) 706-8078
Other practice location 1
6900 N Pecos Rd
North Las Vegas, NV 89086
Phone (702) 791-9000
Other practice location 2
1860 E Sahara Ave
Las Vegas, NV 89104-3707
Phone (702) 486-5774
Other practice location 3
1860 E Sahara Ave
Las Vegas, NV 89104-3707
Phone (702) 486-5774
Other names 1
- Alexander Boupha
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7642-C | NV | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1356759229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9939 TEXAS 151 ACCESS ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-706-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 TEXAS 151 ACCESS ROAD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-706-8078"
}
],
"practiceLocations": [
{
"address_1": "6900 N Pecos Rd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "89086",
"country_code": "US",
"telephone_number": "702-791-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1860 E Sahara Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891043707",
"country_code": "US",
"telephone_number": "702-486-5774",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1860 E Sahara Ave",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891043707",
"country_code": "US",
"telephone_number": "702-486-5774",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNIPE",
"first_name": "ALEXANDER",
"middle_name": "BOUPHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-23",
"last_updated": "2022-08-01",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NV",
"license": "7642-C",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALEXANDER",
"last_name": "BOUPHA",
"code": "1",
"type": "Former Name"
}
]
}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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.