Organization Active NPI

Lifeproof Counseling Services PLLC

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1457070450
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIFEPROOF COUNSELING SERVICES PLLC
Practice address
6326 Sovereign St Ste 238
San Antonio, TX 78229-5130
Phone
(726) 336-9390
Fax
(726) 336-9311
NPI assigned
Aug 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Kandace Sanchez, MA, LPC, LCDCNPI 1568936037
Title
Counselor
Phone
(210) 850-1157

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 Primary

Addresses

Primary practice location

6326 Sovereign St Ste 238
San Antonio, TX 78229-5130

Mailing address

14223 N Hills Village Dr
San Antonio, TX 78249-2564
Phone (210) 850-1157

Other practice location 1

5835 Callaghan Rd Ste 106
San Antonio, TX 78228-1105
Phone (726) 336-9390

National Provider Directory

National Provider Directory

Locations

5835 Callaghan Rd
Ste 106
San Antonio, TX 78228
Phone (726) 336-9390

6326 Sovereign St
Ste 238
San Antonio, TX 78229
Phone (726) 336-9390

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": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1457070450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14223 N HILLS VILLAGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492564",
            "telephone_number": "210-850-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 SOVEREIGN ST STE 238",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295130",
            "telephone_number": "726-336-9390",
            "fax_number": "726-336-9311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5835 Callaghan Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281105",
            "country_code": "US",
            "telephone_number": "726-336-9390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIFEPROOF COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "KANDACE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "210-850-1157",
        "authorized_official_credential": "MA, LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Nov 27, 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.

Verify at the official NPI Registry.