Organization Active NPI

Courageous Story Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Antonio, TX
National Provider Identifier
1659022424
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COURAGEOUS STORY COUNSELING, PLLC
Practice address
3201 Cherry Ridge Dr Ste C316
San Antonio, TX 78230-4823
Phone
(210) 347-9480
Fax
(830) 323-0144
NPI assigned
Jan 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Shannon Arlene Kratky, MS, LPC, LCDC, NCCNPI 1932756780
Title
Owner and Counselor
Phone
(210) 791-7017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3201 Cherry Ridge Dr Ste C316
San Antonio, TX 78230-4823

Mailing address

3201 Cherry Ridge Dr Ste C316
San Antonio, TX 78230-4823
Phone (210) 791-7017

National Provider Directory

National Provider Directory

Locations

3201 Cherry Ridge Dr
Ste C316
San Antonio, TX 78230
Phone (210) 347-9480

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1659022424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE C316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-791-7017",
            "fax_number": "830-323-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 CHERRY RIDGE DR STE C316",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304823",
            "telephone_number": "210-347-9480",
            "fax_number": "830-323-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS STORY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "KRATKY",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OWNER AND COUNSELOR",
        "authorized_official_telephone_number": "210-791-7017",
        "authorized_official_credential": "MS, LPC, LCDC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "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 Jan 18, 2022; 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.