Individual provider Active NPI

Maria A. Byndom, MS, LCPC, CCMHC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1649616624
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180.012153 Issued in IL
Practice address
20079 Stone Oak Pkwy Ste 1105-481
San Antonio, TX 78258-6942
Phone
(210) 864-6658
Fax
(210) 899-1952
NPI assigned
May 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178.010448 IL
Professional Counselor 101YP2500X 82072 TX
Professional Counselor 101YP2500X 180.012153 IL Primary
Counselor 101Y00000X 180.012153 IL
Counselor 101Y00000X 178.010448 IL
Counselor 101Y00000X 82072 TX
Mental Health Counselor 101YM0800X 180.012153 IL
Mental Health Counselor 101YM0800X 82072 TX
Mental Health Counselor 101YM0800X 178.010448 IL

Addresses

Primary practice location

20079 Stone Oak Pkwy Ste 1105-481
San Antonio, TX 78258-6942

Mailing address

20079 Stone Oak Pkwy Ste 1105-481
San Antonio, TX 78258-6942
Phone (210) 239-2190

Other practice location 1

504 Beringer Cir
Urbana, IL 61802-9409
Phone (314) 359-5120

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
178.010448ILMDMental Health Counselor
180.012153ILMDMental Health Counselor
82072TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1368662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1649616624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105-481",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "210-239-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1105-481",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586942",
            "telephone_number": "210-864-6658",
            "fax_number": "210-899-1952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Beringer Cir",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618029409",
            "country_code": "US",
            "telephone_number": "314-359-5120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYNDOM",
        "first_name": "MARIA",
        "middle_name": "A.",
        "credential": "MS, LCPC, CCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-16",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178.010448",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82072",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.012153",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "180.012153",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.010448",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "82072",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.012153",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "82072",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.010448",
            "primary": false
        }
    ],
    "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 Mar 26, 2021; 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.