Active NPI
Courtney Andrejczak, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP132281
- Practice address
- 2411 NE Loop 410 Ste 114
San Antonio, TX 78217-6600 - Phone
- (210) 868-5801
- NPI assigned
- Aug 25, 2016
- Last updated
- Sep 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP132281 | TX | Primary |
| Registered Nurse | 163W00000X | 860111 | TX |
Addresses
Primary practice location
2411 NE Loop 410 Ste 114
San Antonio, TX 78217-6600
Mailing address
12131 Sapphire Riv
San Antonio, TX 78245-4771
Phone (979) 732-7972
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: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12131 Sapphire Riv
San Antonio, TX 78245-4771
21111 Amalfi Oaks
San Antonio, TX 78259-1722
2411 NE Loop
410 Suite 114
San Antonio, TX 78217-6600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 860111 | TX | MD | Registered Nurse |
| AP132281 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceland Psychiatric and Neuromodulation Center PLLC | Current | Accepting new patients |
Locations
2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000
2411 NE Loop 410
Ste 114
San Antonio, TX 78217
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- San Antonio, TX
- NPI 1518548262
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759104000000",
"number": "1568918050",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12131 SAPPHIRE RIV",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782454771",
"telephone_number": "979-732-7972"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 NE LOOP 410 STE 114",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782176600",
"telephone_number": "210-868-5801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREJCZAK",
"first_name": "COURTNEY",
"credential": "PMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-25",
"last_updated": "2025-09-29",
"certification_date": "2025-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "TX",
"license": "AP132281",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "860111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Christine Andre, MD
- Andrea Johnson LPC, PLLC
- Andrea M. Rodriguez, DDS (Smiles of San Antonio)
- Andrea Zuflacht Ms, LPC & Associates
- Andrea Zuflacht, Ms, LPC & Associates
- Alessandra Andren, PA-C
- Cary Andreo, PT, DPT
- Andrew de la Garza, Jr., DDS, PA
- Andrew L. Whaley, M.D., P.a. (Orthopaedic Surgery and Sports Medicine of San Antonio)
- Andrew W Moore DC PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.