Active NPI
Christopher Robert Cantu, LPC
- Professional Counselor
- San Juan, TX
National Provider Identifier
1396037495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 67349
- Practice address
- 1229 S Veterans Blvd
San Juan, TX 78589 - Phone
- (956) 787-5454
- Fax
- (956) 787-5486
- NPI assigned
- May 6, 2011
- Last updated
- May 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 67349 | TX | Primary |
Addresses
Primary practice location
1229 S Veterans Blvd
San Juan, TX 78589
Mailing address
PO Box 749
Pharr, TX 78577-1614
Phone (956) 362-2171
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 |
|---|---|---|---|
| 67349 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Medical Foundation | Professional | Past | Accepting new patients |
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, 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": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1396037495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 749",
"city": "PHARR",
"state": "TX",
"postal_code": "785771614",
"telephone_number": "956-362-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 S VETERANS BLVD",
"city": "SAN JUAN",
"state": "TX",
"postal_code": "78589",
"telephone_number": "956-787-5454",
"fax_number": "956-787-5486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "CHRISTOPHER",
"middle_name": "ROBERT",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-06",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "67349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.