Individual provider Active NPI

Olga Valentin Reyes, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1619006558
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14519 Issued in TX
Practice address
3678 Hidden Dr
Unit 1002
San Antonio, TX 78217-4678
Phone
(210) 687-2263
NPI assigned
Mar 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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 14519 TX Primary

Addresses

Primary practice location

3678 Hidden Dr
Unit 1002
San Antonio, TX 78217-4678

Mailing address

802 Augusta St
Ste 203
San Antonio, TX 78215-1643
Phone (210) 687-2263

Other identifiers 1

IdentifierTypeStateIssuer
0958381-04MedicaidTX

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

LicenseStateTypeSpecialty
14519TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427068800000",
    "number": "1619006558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 AUGUSTA ST",
            "address_2": "STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151643",
            "telephone_number": "210-687-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3678 HIDDEN DR",
            "address_2": "UNIT 1002",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782174678",
            "telephone_number": "210-687-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTIN REYES",
        "first_name": "OLGA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0958381-04",
            "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 Mar 23, 2015; 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.