Organization Active NPI

Regen Psych PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1467734947
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12560 Issued in TX
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

Updated by the provider on Sep 12, 2011

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.