NPIMap

Organization Active NPI

Our Lady of the Lake University

Doing business as Community Counseling Service

  • Counseling Psychologist
  • San Antonio, TX
National Provider Identifier
1689811374
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
33853 Issued in TX
Legal business name
OUR LADY OF THE LAKE UNIVERSITY
Doing business as
Community Counseling Service
Practice address
590 N General McMullen
3
San Antonio, TX 78228-6205
Phone
(210) 434-1054
Fax
(210) 434-1380
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Mrs. Bernadette H Solorzano, PSY, D.
Title
Center Director
Phone
(210) 434-1054

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 33853 TX Primary

Addresses

Primary practice location

590 N General McMullen
3
San Antonio, TX 78228-6205

Mailing address

590 N General McMullen
3
San Antonio, TX 78228-6205
Phone (210) 434-1054

Other names 1

  • Community Counseling Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harry Jersig Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

590 N General McMullen Dr
Ste 3
San Antonio, TX 78228
Phone (210) 434-1054

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1689811374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 N GENERAL MCMULLEN",
            "address_2": "3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782286205",
            "telephone_number": "210-434-1054",
            "fax_number": "210-434-1380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 N GENERAL MCMULLEN",
            "address_2": "3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782286205",
            "telephone_number": "210-434-1054",
            "fax_number": "210-434-1380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LADY OF THE LAKE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "SOLORZANO",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "210-434-1054",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSY, D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "33853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 16, 2009; 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.