Individual provider Active NPI

Davorian Treyvon Marion, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1487340279
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
86120 Issued in TX
Practice address
11788 Culebra Rd Apt 8304
San Antonio, TX 78253-4376
Phone
(726) 567-8665
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 86120 TX Primary

Addresses

Primary practice location

11788 Culebra Rd Apt 8304
San Antonio, TX 78253-4376

Mailing address

11788 Culebra Rd Apt 8304
San Antonio, TX 78253-4376
Phone (726) 567-8665

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117003227 TX Practitioner - Mental Health Counselor 1759733579 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86120TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Behavioral Health, PLLC Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Vcounselors PLLC CurrentSince Jan 1, 2024 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1487340279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11788 CULEBRA RD APT 8304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534376",
            "telephone_number": "726-567-8665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11788 CULEBRA RD APT 8304",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534376",
            "telephone_number": "726-567-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARION",
        "first_name": "DAVORIAN",
        "middle_name": "TREYVON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "86120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.