Active NPI
Edward Spiller, LCSW
- Professional Counselor
- Converse, TX
National Provider Identifier
1477869063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 00696
- Practice address
- 101 Peaceful LN
Converse, TX 78109-1007 - Phone
- (210) 248-9077
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- 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 | 00696 | TX | Primary |
Addresses
Primary practice location
101 Peaceful LN
Converse, TX 78109-1007
Mailing address
101 Peaceful LN
Converse, TX 78109-1007
Phone (210) 248-9077
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110616000331 | TX | Practitioner - Clinical Social Worker | 5092992289 | Practice locations: San Antonio, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00696 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306281600000",
"number": "1477869063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 PEACEFUL LN",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091007",
"telephone_number": "210-248-9077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 PEACEFUL LN",
"city": "CONVERSE",
"state": "TX",
"postal_code": "781091007",
"telephone_number": "210-248-9077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPILLER",
"first_name": "EDWARD",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2011-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "00696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Converse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.