Individual provider Active NPI

Kotia Kosha Whitaker, LMFT

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1639717101
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202936 Issued in TX
Practice address
6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone
(210) 261-1000
Fax
(210) 261-1821
NPI assigned
Dec 16, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202936 TX Primary

Addresses

Primary practice location

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1000

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
I20240306002595 TX Practitioner - Marriage and Family Therapist 2163868746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Taylor Counseling GroupGroup PAC ID 7012360019, 36 clinicians

Practice addresses (Care Compare)

8200
10 Suite 520
San Antonio, TX 78230-3877
Phone 21453000210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202936TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Taylor Counseling Group CurrentSince Jan 20, 2024 Accepting new patients

Locations

8150 N Central Expy
Ste 1625
Dallas, TX 75206
Phone 97957437170

101 Summit Ave
Ste 204
Fort Worth, TX 76102

550 Westcott St
Ste 220
Houston, TX 77007

8200 W Interstate 10
Ste 520
San Antonio, TX 78230

1777 NE Loop 410
Ste 825
San Antonio, TX 78217
Phone (210) 350-3413

300 N Ih 35 E
Waxahachie, TX 75165
Phone (214) 733-4747

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1639717101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-261-1000",
            "fax_number": "210-261-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-261-1000",
            "fax_number": "210-261-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "KOTIA",
        "middle_name": "KOSHA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.