Individual provider Active NPI

Mary Holman-Anderson, MED, LPCI

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1528507993
Registry record updated Feb 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
76214 Issued in TX
Practice address
16414 San Pedro Ave Ste 281
Ste 710
San Antonio, TX 78232-2245
Phone
(210) 807-8214
NPI assigned
Feb 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2017

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 76214 TX Primary

Addresses

Primary practice location

16414 San Pedro Ave Ste 281
Ste 710
San Antonio, TX 78232-2245

Mailing address

3729 Green Valley Rd
Cibolo, TX 78108-3159
Phone (210) 601-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
76214TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Anew Family Counseling Center, PLLC Mental Health Past Accepting new patients

Organizations & group practices 1

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": "1487376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487376000000",
    "number": "1528507993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3729 GREEN VALLEY RD",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083159",
            "telephone_number": "210-601-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16414 SAN PEDRO AVE STE 281",
            "address_2": "STE 710",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322245",
            "telephone_number": "210-807-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN-ANDERSON",
        "first_name": "MARY",
        "name_prefix": "Ms.",
        "credential": "MED, LPCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-18",
        "last_updated": "2017-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "76214",
            "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 Feb 18, 2017; 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.