Individual provider Active NPI

James Carpenter

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1669271128
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
92312 Issued in TX
Practice address
19314 Amore BLF
San Antonio, TX 78259-1858
Phone
(210) 274-3128
NPI assigned
Mar 10, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 92312 TX Primary

Addresses

Primary practice location

19314 Amore BLF
San Antonio, TX 78259-1858

Mailing address

19314 Amore BLF
San Antonio, TX 78259-1858
Phone (210) 274-3128

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
I20260105001093 TX Practitioner - Mental Health Counselor 6204322738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13242 Hunters Breeze St
San Antonio, TX 78230-2867

808 Silvermoon Dr
Little Elm, TX 75068-0137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92312TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Active Behavioral Group, LLC CurrentSince Dec 23, 2025 Accepting new patients
Active Behavioral Goals LLC CurrentSince Dec 23, 2025 Accepting new patients

Organizations & group practices 2

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1669271128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19314 AMORE BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591858",
            "telephone_number": "210-274-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19314 AMORE BLF",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782591858",
            "telephone_number": "210-274-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "92312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.