Individual provider Active NPI

Kimberly Alexis Salazar Duffy, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1659066819
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90884 Issued in TX
Practice address
8607 Wurzbach Rd BLDG V
San Antonio, TX 78240-1281
Phone
(210) 239-6059
Fax
(877) 554-0683
NPI assigned
Apr 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 90884 TX Primary

Addresses

Primary practice location

8607 Wurzbach Rd BLDG V
San Antonio, TX 78240-1281

Mailing address

8607 Wurzbach Rd BLDG V
San Antonio, TX 78240-1281
Phone (210) 239-6059

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

State licenses

LicenseStateTypeSpecialty
90884TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1659066819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8607 WURZBACH RD BLDG V",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401281",
            "telephone_number": "210-239-6059",
            "fax_number": "877-554-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8607 WURZBACH RD BLDG V",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401281",
            "telephone_number": "210-239-6059",
            "fax_number": "877-554-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFFY",
        "first_name": "KIMBERLY",
        "middle_name": "ALEXIS SALAZAR",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-05",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90884",
            "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 Jun 11, 2025; 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.