Organization Active NPI

Sound Mind Psychotherapy, PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1639716590
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUND MIND PSYCHOTHERAPY, PLLC
Practice address
1814 Caversham Pass LN
San Antonio, TX 78253-6055
Phone
(563) 594-5993
NPI assigned
Dec 10, 2019
Last updated
Dec 10, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Authorized official

Name
Gabriella Kershner
Title
LPC
Phone
(563) 594-5993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1814 Caversham Pass LN
San Antonio, TX 78253-6055

Mailing address

1814 Caversham Pass LN
San Antonio, TX 78253-6055
Phone (563) 594-5993

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1639716590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CAVERSHAM PASS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536055",
            "telephone_number": "563-594-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CAVERSHAM PASS LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536055",
            "telephone_number": "563-594-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUND MIND PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "GABRIELLA",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "563-594-5993"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 10, 2019; 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.