Active NPI
Diana Rodriguez Galvan, LPC LMFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1548327109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1346
- Practice address
- 11122 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2573 - Phone
- (210) 699-0345
- Fax
- (210) 699-0377
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8572 | TX | |
| Professional Counselor | 101YP2500X | 8572 | TX | |
| Marriage & Family Therapist | 106H00000X | 1346 | TX | Primary |
Addresses
Primary practice location
11122 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2573
Mailing address
11122 Wurzbach Rd
Suite 301
San Antonio, TX 78230-2573
Phone (210) 699-0345
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0263113-02 | Medicaid | TX | |
| 065174 | Other | TX | VALUE OPTIONS |
| 128640 | Other | TX | MHN |
| 138007000 | Other | TX | MAGELLAN |
| 2648392 | Other | TX | AETNA |
| 2979LC | Other | TX | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8572 | TX | MD | Mental Health Counselor |
| 1346 | TX | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana R. Galvan, 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": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325721600000",
"number": "1548327109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11122 WURZBACH RD",
"address_2": "SUITE 301",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302573",
"telephone_number": "210-699-0345",
"fax_number": "210-699-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11122 WURZBACH RD",
"address_2": "SUITE 301",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782302573",
"telephone_number": "210-699-0345",
"fax_number": "210-699-0377"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "DIANA",
"middle_name": "RODRIGUEZ",
"name_prefix": "Ms.",
"credential": "LPC LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2012-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "8572",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "8572",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "1346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0263113-02",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "065174",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "128640",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "138007000",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2648392",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2979LC",
"state": "TX"
}
],
"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 Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.