Individual provider Active NPI

Lauren Trevino, LMFTA

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1619795838
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
205718 Issued in TX
Practice address
9901 W Interstate 10 Ste 775
San Antonio, TX 78230-1781
Phone
(210) 957-1668
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 205718 TX
Marriage & Family Therapist 106H00000X 205718 TX Primary

Addresses

Primary practice location

9901 W Interstate 10 Ste 775
San Antonio, TX 78230-1781

Mailing address

9901 W Interstate 10 Ste 775
San Antonio, TX 78230-1781
Phone (210) 957-1668

Other practice location 1

123 Pennystone Ave
San Antonio, TX 78223-1820
Phone (210) 957-1668

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
205718TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Counseling Inc Marriage & Family Therapist CurrentSince Oct 31, 2024 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": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733788800000",
    "number": "1619795838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 W INTERSTATE 10 STE 775",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301781",
            "telephone_number": "210-957-1668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 W INTERSTATE 10 STE 775",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301781",
            "telephone_number": "210-957-1668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Pennystone Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782231820",
            "country_code": "US",
            "telephone_number": "210-957-1668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "LAUREN",
        "credential": "LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "205718",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "205718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.