Active NPI
Isaac Carreon, MFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1437334653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 47440
- Practice address
- 19179 Blanco Rd Ste
San Antonio, TX 78258-4009 - Phone
- (951) 900-3034
- Fax
- (951) 344-8293
- NPI assigned
- Jan 7, 2008
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 47440 | CA | Primary |
Addresses
Primary practice location
19179 Blanco Rd Ste
San Antonio, TX 78258-4009
Mailing address
5838 Fort Stanwix St
San Antonio, TX 78233-5113
Phone (951) 900-3034
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47440 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1437334653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 FORT STANWIX ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782335113",
"telephone_number": "951-900-3034",
"fax_number": "951-344-8293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19179 BLANCO RD STE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584009",
"telephone_number": "951-900-3034",
"fax_number": "951-344-8293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARREON",
"first_name": "ISAAC",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-07",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.