Individual provider Active NPI

Roman Gabriel Venegas, LCSW

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1467704783
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58678 Issued in TX
Practice address
147 E Summit Ave
San Antonio, TX 78212-2953
Phone
(210) 946-8223
NPI assigned
Oct 10, 2012
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11774 TX
Clinical Social Worker 1041C0700X 58678 TX Primary

Addresses

Primary practice location

147 E Summit Ave
San Antonio, TX 78212-2953

Mailing address

1437 Buena Vis
College Station, TX 77845-4364
Phone (210) 946-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK, OK, MN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20161114002079 TX Practitioner - Clinical Social Worker 0840579991 Reassigns benefits to 10 organizations
Practice locations: College Station, TX
I20250731001694 AK Practitioner - Clinical Social Worker 0840579991 Reassigns benefits to 2 organizations
I20250807003301 OK Practitioner - Clinical Social Worker 0840579991 Reassigns benefits to 1 organization
I20250813001199 MN Practitioner - Clinical Social Worker 0840579991

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care LLCGroup PAC ID 7719126655, 67 clinicians

Practice addresses (Care Compare)

1500 Medical Ave
College Station, TX 77845-7986
Phone (888) 708-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11774TXMDAddiction (Substance Use Disorder) Counselor
58678TXMDClinical Social Worker
35128MNMDPlastic Surgery within the Head & Neck (Otolaryngology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC CurrentSince Aug 1, 2024 Accepting new patients
Cherokee Nation CurrentSince Oct 16, 2023 Accepting new patients
Alliance Mental Health, LLC CurrentSince Jul 28, 2025 Accepting new patients
Deer Oaks Geriatric Services P C CurrentSince Nov 16, 2020 Accepting new patients
Norton Sound Health Corporation CurrentSince Jul 11, 2025 Accepting new patients
Assurasource LTD Clinical CurrentSince Jan 8, 2024 Accepting new patients
BMSC TX LLC Clinical CurrentSince Dec 13, 2023 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
A New Start Counseling Services Clinical CurrentSince May 1, 2025 Accepting new patients
Alliance Mental Health, LLC CurrentSince Jul 28, 2025 Accepting new patients
Vcounselors PLLC CurrentSince Feb 2, 2026 Accepting new patients
The Venegas Corp., LLC CurrentSince Dec 31, 2023 Accepting new patients
Norton Sound Health Corporation CurrentSince Jul 11, 2025 Accepting new patients
Supportive Care LLC CurrentSince Jun 10, 2023 Accepting new patients
Kotel Atx PLLC CurrentSince Oct 29, 2021 Accepting new patients
Cherokee Nation Current Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Feb 2, 2026 Accepting new patients
Cherokee Nation Current Accepting new patients
Cherokee Nation CurrentSince Oct 16, 2023 Accepting new patients
Sweet Memorial Nursing Home PastSince Feb 1, 2010 Accepting new patients

Locations (25 of 26)

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1402 N Florence Ave
Ste B
Claremore, OK 74017
Phone 9186080380716

859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271

1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201

1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192

900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500

100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100

Dept 2269
Tulsa, OK 74182

27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800

400 N Allen Dr
Ste 204
Allen, TX 75013

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1500 Medical Ave
College Station, TX 77845
Phone (888) 708-1240

1025 W Yeagua St
Groesbeck, TX 76642
Phone (254) 729-3366

6534 Stuebner Airline Rd
Houston, TX 77091
Phone (713) 692-5137

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

6609 Blanco Rd
Ste 325
San Antonio, TX 78216
Phone (210) 705-1749

6609 Blanco Rd
Ste 365
San Antonio, TX 78216
Phone (210) 705-1749

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

3001 Bee Caves Rd
Ste 220
West Lake Hills, TX 78746

Organizations & group practices 22

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1467704783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 BUENA VIS",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778454364",
            "telephone_number": "210-946-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 E SUMMIT AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122953",
            "telephone_number": "210-946-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENEGAS",
        "first_name": "ROMAN",
        "middle_name": "GABRIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-10",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "11774",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.