Individual provider Active NPI

Marco Antonio Mar Jr., LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1568043404
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76100 Issued in TX
Practice address
122 Aganier Ave
San Antonio, TX 78212-3806
Phone
(956) 313-8327
NPI assigned
Apr 20, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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 76100 TX Primary

Addresses

Primary practice location

122 Aganier Ave
San Antonio, TX 78212-3806

Mailing address

122 Aganier Ave
San Antonio, TX 78212-3806
Phone (956) 313-8327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76100TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhapsody Counseling and Wellness Center PC CurrentSince Jan 17, 2024 Accepting new patients
Marco Counseling & Consulting, PLLC CurrentSince Mar 3, 2024 Accepting new patients

Locations

11901 Toepperwein Rd
Ste 1106
Live Oak, TX 78233
Phone (210) 286-9339

6391 De Zavala Rd
Ste 100
San Antonio, TX 78249
Phone (210) 286-9339

4940 Broadway
Ste 230
San Antonio, TX 78209
Phone (210) 988-0060

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": "1618876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1568043404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 AGANIER AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123806",
            "telephone_number": "956-313-8327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 AGANIER AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123806",
            "telephone_number": "956-313-8327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAR",
        "first_name": "MARCO",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.