Active NPI
Sue Diane Clifford, PH.D., L.P.C.
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1467538439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17818
- Practice address
- 24511 Arrow Tree
San Antonio, TX 78258-3273 - Phone
- (210) 887-2122
- NPI assigned
- Oct 31, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17818 | TX | Primary |
Addresses
Primary practice location
24511 Arrow Tree
San Antonio, TX 78258-3273
Mailing address
24511 Arrow Tree
San Antonio, TX 78258-3273
Phone (210) 887-2122
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 157656301 | Medicaid | TX | |
| 276802 | Other | TX | MHN PROVIDER # |
| 2099978 | Other | TX | FIRST HEALTH PROVIDER # |
| 6418LC | Other | TX | BCBS PROVIDER # |
| 2170669 | Other | TX | CIGNA PROVIDER # |
| 14495 | Other | TX | COMMUNITY FIRST PROVIDER |
| 486262000 | Other | TX | AETNA PROVIDER # |
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17818 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663113600000",
"number": "1467538439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24511 ARROW TREE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583273",
"telephone_number": "210-887-2122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24511 ARROW TREE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782583273",
"telephone_number": "210-887-2122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLIFFORD",
"first_name": "SUE",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PH.D., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2022-09-14",
"certification_date": "2022-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17818",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "157656301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN PROVIDER #",
"identifier": "276802",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH PROVIDER #",
"identifier": "2099978",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "6418LC",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER #",
"identifier": "2170669",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY FIRST PROVIDER",
"identifier": "14495",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER #",
"identifier": "486262000",
"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 Sep 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.