Organization Active NPI

Holguingrado Clinical Services

Doing business as Be Seen Center for Emotional Wellness

  • Clinical Social Worker
  • San Antonio, TX
National Provider Identifier
1528626355
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOLGUINGRADO CLINICAL SERVICES
Doing business as
Be Seen Center for Emotional Wellness
Practice address
12915 Jones Maltsberger Rd Ste 202
San Antonio, TX 78247-4282
Phone
(614) 782-1747
NPI assigned
Jun 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Authorized official

Name
Marisa Andrea Holguin- Grado, LCSWNPI 1710495528
Title
Managing Member
Phone
(575) 494-1324

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 202
San Antonio, TX 78247-4282

Mailing address

12915 Jones Maltsberger Rd Ste 202
San Antonio, TX 78247-4282
Phone (575) 494-1324

Other practice location 1

4201 Medical Dr
San Antonio, TX 78229-5656
Phone (210) 614-4990

Other names 1

  • Be Seen Center for Emotional Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190814000895 TX Part B Supplier - Clinic/Group Practice 5294062279 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4201 Medical Dr
San Antonio, TX 78229
Phone (210) 313-3315

12915 Jones Maltsberger Rd
San Antonio, TX 78247
Phone (210) 592-9964

12915 Jones Maltsberger Rd
Ste 305
San Antonio, TX 78247
Phone (301) 690-8145

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563753600000",
    "number": "1528626355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474282",
            "telephone_number": "575-494-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474282",
            "telephone_number": "614-782-1747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Medical Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295656",
            "country_code": "US",
            "telephone_number": "210-614-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLGUINGRADO CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-07-22",
        "status": "A",
        "authorized_official_last_name": "HOLGUIN- GRADO",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "575-494-1324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Seen Center for Emotional Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Be Seen Center for Emotional Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.