NPIMap

Organization Active NPI

Mary Z Ponce

Doing business as Alevio Counseling & Evaluations

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1386881258
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
30933 Issued in TX
Legal business name
MARY Z PONCE
Doing business as
Alevio Counseling & Evaluations
Practice address
5835 Callaghan Rd
Suite 322
San Antonio, TX 78228-1125
Phone
(210) 233-1566
Fax
(210) 547-7780
NPI assigned
Jan 14, 2009
Last updated
Sep 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Dr. Mary Zoila Ponce, PSYDNPI 1871542464
Title
Licensed Psychologist
Phone
(210) 233-1566

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 30933 TX Primary

Addresses

Primary practice location

5835 Callaghan Rd
Suite 322
San Antonio, TX 78228-1125

Mailing address

5835 Callaghan Rd
Suite 322
San Antonio, TX 78228-1125
Phone (210) 233-1566

Other identifiers 1

IdentifierTypeStateIssuer
1519050MedicaidTX

Other names 1

  • Alevio Counseling & Evaluations Doing business as

National Provider Directory

National Provider Directory

Locations

5835 Callaghan Rd
Ste 322
San Antonio, TX 78228
Phone (210) 233-1566

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1386881258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CALLAGHAN RD",
            "address_2": "SUITE 322",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281125",
            "telephone_number": "210-233-1566",
            "fax_number": "210-547-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CALLAGHAN RD",
            "address_2": "SUITE 322",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281125",
            "telephone_number": "210-233-1566",
            "fax_number": "210-547-7780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY Z PONCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ZOILA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "210-233-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "30933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1519050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alevio Counseling & Evaluations",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 15, 2014; 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.