Individual provider Active NPI

Kevin McBrearty, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1427092824
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17164 Issued in TX
Practice address
1954 E Houston St RM 201
San Antonio, TX 78202-2953
Phone
(210) 261-3700
Fax
(210) 261-1804
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17164 TX Primary

Addresses

Primary practice location

1954 E Houston St RM 201
San Antonio, TX 78202-2953

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060

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
I20231117001296 TX Practitioner - Mental Health Counselor 0941657621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17164TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar County Board of Trustees for Mental Health Mental Retardation Professional CurrentSince Jan 1, 2024 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation PastSince Jan 1, 2024 Accepting new patients

Locations

104 Story Ln
San Antonio, TX 78223
Phone (210) 261-3350

1954 E Houston St
Rm 201
San Antonio, TX 78202
Phone (210) 413-1103

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060

1954 E Houston St
Rm 204
San Antonio, TX 78202

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1427092824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-261-1060",
            "fax_number": "210-261-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1954 E HOUSTON ST RM 201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782022953",
            "telephone_number": "210-261-3700",
            "fax_number": "210-261-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCBREARTY",
        "first_name": "KEVIN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.