Individual provider Active NPI

Melinda Faye Cavazos, MA ,LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1447754551
Registry record updated Mar 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72943 Issued in TN
Practice address
10615 Perrin Beitel Rd Ste 801
San Antonio, TX 78217-3142
Phone
(210) 757-3150
Fax
(800) 508-0086
NPI assigned
Mar 22, 2018
Last updated
Mar 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2018

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 72943 TN Primary

Addresses

Primary practice location

10615 Perrin Beitel Rd Ste 801
San Antonio, TX 78217-3142

Mailing address

PO Box 34834
San Antonio, TX 78265-4834
Phone (210) 757-3150

Other identifiers 1

IdentifierTypeStateIssuer
72943OtherTXLPC LICENSE

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
72943TNMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521676800000",
    "number": "1447754551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34834",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782654834",
            "telephone_number": "210-757-3150",
            "fax_number": "800-508-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10615 PERRIN BEITEL RD STE 801",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782173142",
            "telephone_number": "210-757-3150",
            "fax_number": "800-508-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVAZOS",
        "first_name": "MELINDA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "MA ,LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "72943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC  LICENSE",
            "identifier": "72943",
            "state": "TX"
        }
    ],
    "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 Mar 22, 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.

Verify at the official NPI Registry.