Individual provider Active NPI

Ana Maldonado, LPC-A

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1366178626
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945
Phone
(210) 209-0642
NPI assigned
Jul 28, 2022
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945

Mailing address

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945
Phone (210) 209-0642

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
I20241215000128 TX Practitioner - Mental Health Counselor 2961938873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling4Life, LLCGroup PAC ID 5496163511, 15 clinicians

Practice addresses (Care Compare)

17206 Blanco Rd
BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie a Richards LPC, PLLC CurrentSince Dec 11, 2024 Accepting new patients
Counseling4Life, LLC Mental Health CurrentSince Dec 11, 2024 Accepting new patients
Goodmindrx PastSince Aug 4, 2024 Accepting new patients

Locations

16607 Blanco Rd
Ste 1404
San Antonio, TX 78232
Phone (210) 209-0642

17206 Blanco Rd
Bldg 2
San Antonio, TX 78232
Phone (210) 209-0642

17206 Blanco Rd
Ste 2101
San Antonio, TX 78232
Phone (210) 209-0642

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1366178626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "ANA",
        "credential": "LPC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.