Individual provider Active NPI

Isamar Santos-Jaramillo

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1659015147
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80414 Issued in TX
Practice address
13014 Kings Forest St
San Antonio, TX 78230-1515
Phone
(210) 744-5863
NPI assigned
Apr 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80414 TX Primary

Addresses

Primary practice location

13014 Kings Forest St
San Antonio, TX 78230-1515

Mailing address

PO Box 690864
San Antonio, TX 78269-0864
Phone (210) 744-5863

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
I20231128002123 TX Practitioner - Mental Health Counselor 8325496565 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reliance Behavioral Health PCGroup PAC ID 9335110600, 7 clinicians

Practice addresses (Care Compare)

13014 Kings Forest St
San Antonio, TX 78230-1515
Phone (210) 744-5863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
80414TXMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Behavioral Health, P.C. CurrentSince Jan 1, 2024 Accepting new patients

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": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1659015147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690864",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690864",
            "telephone_number": "210-744-5863",
            "fax_number": "210-479-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13014 KINGS FOREST ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301515",
            "telephone_number": "210-744-5863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-JARAMILLO",
        "first_name": "ISAMAR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.