Kathleen Mara Eager-Ariz, LPC ASSOCIATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89421 Issued in TX

Practice address

102 Primera Dr Apt 6
San Antonio, TX 78212-2050

Phone

(830) 623-7121

NPI assigned

Apr 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1598452153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 BALCONES DR",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245935",
            "telephone_number": "830-623-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PRIMERA DR APT 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782122050",
            "telephone_number": "830-623-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 Balcones Dr",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "TX",
            "postal_code": "786245935",
            "country_code": "US",
            "telephone_number": "830-623-7121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAGER-ARIZ",
        "first_name": "KATHLEEN",
        "middle_name": "MARA",
        "credential": "LPC ASSOCIATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "89421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas W Eades, M.D.
• Ashley Leana Eads
• Sarah Renee Eads, DPT
• Shawna L Eads, NNP
• Bonnie Elizabeth Eady, D.O.
• Judith H. Eager, M.MFT
• Eagle Applied Sciences, LLC (Integrative Wellness and Research Center)
• Eagle Eye Medical Solutions
• Golden Eagle
• Matthew Eagles

• Mental Health Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.