Individual provider Active NPI

Christina M Mokhtar Hassan, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1497273890
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92874 Issued in TX
Practice address
900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407
Phone
(210) 822-2600
Fax
(210) 822-2685
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2105005 AR
Professional Counselor 101YP2500X 92874 TX Primary

Addresses

Primary practice location

900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407

Mailing address

125 Wellness Way
Hot Springs, AR 71913-6478
Phone (501) 620-5231

Other practice location 1

125 Wellness Way
Hot Springs, AR 71913
Phone (501) 620-5231

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
I20240131003240 TX Practitioner - Mental Health Counselor 6608229166 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2105005ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heights Counseling Inc. Counselor CurrentSince Jan 1, 2024 Accepting new patients
Anne Esquivel, PH.D., P.a. Past Accepting new patients

Locations

900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600

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": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1497273890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WELLNESS WAY",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719136478",
            "telephone_number": "501-620-5231",
            "fax_number": "501-620-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE LOOP 410 STE D200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091407",
            "telephone_number": "210-822-2600",
            "fax_number": "210-822-2685"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Wellness Way",
            "address_purpose": "LOCATION",
            "city": "Hot Springs",
            "state": "AR",
            "postal_code": "71913",
            "country_code": "US",
            "telephone_number": "501-620-5231",
            "fax_number": "501-620-5109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOKHTAR HASSAN",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2105005",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.