Individual provider Active NPI

Autry Jamison, M.A.

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1629505771
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
115633 Issued in CA
Practice address
4635 La Bahia Way
San Antonio, TX 78253-5086
Phone
(408) 806-8888
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204640 TX
Marriage & Family Therapist 106H00000X 115633 CA Primary

Addresses

Primary practice location

4635 La Bahia Way
San Antonio, TX 78253-5086

Mailing address

4635 La Bahia Way
San Antonio, TX 78253-5086
Phone (408) 806-8888

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL TherapyNotes Health Information Exchange (HIE)

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251217004109 TX Practitioner - Marriage and Family Therapist 1153816194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

4635 La Bahia Way
San Antonio, TX 78253-5086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
204640TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Dec 1, 2025 Accepting new patients
Isaiah D. Jamison Community Wellness Center Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Dec 1, 2025 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1629505771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4635 LA BAHIA WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535086",
            "telephone_number": "408-806-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4635 LA BAHIA WAY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535086",
            "telephone_number": "408-806-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "AUTRY",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204640",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "115633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "Electronic Health Records",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TherapyNotes",
            "address_1": "4635 La Bahia Way",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782535086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.