Individual provider Active NPI

Daniel Arredondo Jr., L.P.C.

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1457468811
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15848 Issued in TX
Practice address
6800 Park Ten Blvd
Suite 218-N
San Antonio, TX 78213-4211
Phone
(210) 298-2870
Fax
(210) 298-2872
NPI assigned
Aug 23, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 15848 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd
Suite 218-N
San Antonio, TX 78213-4211

Mailing address

6800 Park Ten Blvd
Suite 218-N
San Antonio, TX 78213-4211
Phone (210) 298-2870

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
I20240505000059 TX Practitioner - Mental Health Counselor 8224478490 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6800 Park Ten Blvd
Suite 214N
San Antonio, TX 78213-4289
Phone (210) 602-7354

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1457468811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 218-N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-298-2870",
            "fax_number": "210-298-2872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD",
            "address_2": "SUITE 218-N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134211",
            "telephone_number": "210-298-2870",
            "fax_number": "210-298-2872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "DANIEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.