Individual provider Active NPI

Veronica D Evans

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1669559548
Registry record updated Sep 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18731 Issued in TX
Practice address
6812 Bandera Rd Ste 102
San Antonio, TX 78238
Phone
(210) 261-3500
NPI assigned
Oct 31, 2006
Last updated
Sep 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 18731 TX
Professional Counselor 101YP2500X 18731 TX Primary

Addresses

Primary practice location

6812 Bandera Rd Ste 102
San Antonio, TX 78238

Mailing address

10026 Stonefield PL
San Antonio, TX 78254-6741
Phone (210) 288-9090

Other practice location 1

7404 W US Highway 90
San Antonio, TX 78227-4024
Phone (210) 208-5633

Other practice location 2

4241 E Piedras Dr Ste 267
San Antonio, TX 78228-1423
Phone (210) 475-3793

Other identifiers 1

IdentifierTypeStateIssuer
163210105MedicaidTX

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
18731TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
BCFS Health and Human Services Past Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation Counselor PastSince Sep 29, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1669559548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10026 STONEFIELD PL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546741",
            "telephone_number": "210-288-9090",
            "fax_number": "210-399-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 BANDERA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78238",
            "telephone_number": "210-261-3500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7404 W US Highway 90",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782274024",
            "country_code": "US",
            "telephone_number": "210-208-5633",
            "fax_number": "210-674-3010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4241 E Piedras Dr Ste 267",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281423",
            "country_code": "US",
            "telephone_number": "210-475-3793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVANS",
        "first_name": "VERONICA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "18731",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163210105",
            "state": "TX"
        }
    ],
    "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 Sep 24, 2019; 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.