Individual provider Active NPI

Maya Ontiveros, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1487477980
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90563 Issued in TX
Practice address
17806 Ih 10 W Ste 312
San Antonio, TX 78257-8222
Phone
(512) 956-6463
Fax
(866) 653-5142
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90563 TX Primary

Addresses

Primary practice location

17806 Ih 10 W Ste 312
San Antonio, TX 78257-8222

Mailing address

5804 Benz CV
Austin, TX 78724-1678
Phone (512) 909-7700

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
I20241126001358 TX Practitioner - Mental Health Counselor 5799210845 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Deep Eddy Psychotherapy Management, LLC CurrentSince Nov 18, 2024 Accepting new patients
Deep Centered Psychiatry PLLC PastSince Nov 18, 2024 Accepting new patients

Locations

508 Deep Eddy Ave
Austin, TX 78703
Phone (512) 469-0889

17806 Ih 10 W
Ste 312
San Antonio, TX 78257
Phone (512) 610-1942

1922 Dry Creek Way
Ste 108
San Antonio, TX 78259
Phone (512) 887-3993

Organizations & group practices 2

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": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1487477980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5804 BENZ CV",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787241678",
            "telephone_number": "512-909-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17806 IH 10 W STE 312",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578222",
            "telephone_number": "512-956-6463",
            "fax_number": "866-653-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "MAYA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.