Kimberly Monica Patlan, MS,LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

84054 Issued in TX

Practice address

3103 West Ave
San Antonio, TX 78213-4535

Phone

(210) 340-7971

NPI assigned

Apr 26, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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.

• Serene Heart Therapy, PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1477435261

  Professional

  NPD Authorized official
• Grit & Grace Counseling, PLLC

  • Counselor
  • San Antonio, TX
  • NPI 1356966808

  Professional

  NPD
• Roy Maas' Youth Alternatives, Inc.

  • Clinical Social Worker
  • Boerne, TX
  • NPI 1083774046

  Professional

  NPD (past)

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1649914599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134535",
            "telephone_number": "210-340-7971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATLAN",
        "first_name": "KIMBERLY",
        "middle_name": "MONICA",
        "credential": "MS,LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Patino, LVN
• Damaris Patino, RN
• Delia Sanchez Patino, APRN, PMHNP-BC
• Giovanni A. Patino
• Bailey Morgan Patkowski, LVN
• Matthew Louis Patlovany, M.D.
• Kyle Bradley Patmore
• Amita Patnaik, M.D.
• Patricia Caballero, DO, PA
• Patricia K. Brougher, M.D., P.a.

• All providers in San Antonio, TX
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.