Active NPI
Regen Psych PLLC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1467734947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12560
- Legal business name
- REGEN PSYCH PLLC
- Practice address
- 15650 Classen Rd
San Antonio, TX 78247-5116 - Phone
- (210) 236-8076
- Fax
- (210) 236-8078
- NPI assigned
- Sep 12, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa R Rupprecht, PSYCHOLOGIST
- Title
- Counselor
- Phone
- (210) 236-8076
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12560 | TX | Primary |
Addresses
Primary practice location
15650 Classen Rd
San Antonio, TX 78247-5116
Mailing address
15650 Classen Rd
San Antonio, TX 78247-5116
Phone (210) 236-8076
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315785600000",
"number": "1467734947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15650 CLASSEN RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475116",
"telephone_number": "210-236-8076",
"fax_number": "210-236-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15650 CLASSEN RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782475116",
"telephone_number": "210-236-8076",
"fax_number": "210-236-8078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGEN PSYCH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-12",
"last_updated": "2011-09-12",
"status": "A",
"authorized_official_last_name": "RUPPRECHT",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "210-236-8076",
"authorized_official_credential": "PSYCHOLOGIST"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12560",
"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 Sep 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.