Individual provider Active NPI

Stephanie A. Hofbauer, M.A., LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1689967986
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64993 Issued in TX
Practice address
17206 Blanco Rd Ste 2101
San Antonio, TX 78232-2830
Phone
(210) 606-1934
Fax
(210) 787-1629
NPI assigned
May 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 64993 TX
Professional Counselor 101YP2500X 64993 TX Primary

Addresses

Primary practice location

17206 Blanco Rd Ste 2101
San Antonio, TX 78232-2830

Mailing address

24843 Crescent Run
San Antonio, TX 78258-2753
Phone (210) 606-1934

Other names 1

  • Stephanie A Richards Former name

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
I20240320001317 TX Practitioner - Mental Health Counselor 8022426147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17206 Blanco Rd
BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling4Life, LLC Mental Health CurrentSince Mar 18, 2021 Accepting new patients
Stephanie a Richards LPC, PLLC Professional CurrentSince Mar 1, 2024 Accepting new patients
Goodmindrx CurrentSince Nov 17, 2024 Accepting new patients

Locations

17206 Blanco Rd
Ste 2101
San Antonio, TX 78232
Phone (210) 209-0642

17206 Blanco Rd
Bldg 2
San Antonio, TX 78232
Phone (210) 209-0642

Organizations & group practices 3

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": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1689967986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24843 CRESCENT RUN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782582753",
            "telephone_number": "210-606-1934",
            "fax_number": "210-787-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17206 BLANCO RD STE 2101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322830",
            "telephone_number": "210-606-1934",
            "fax_number": "210-787-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFBAUER",
        "first_name": "STEPHANIE",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64993",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "RICHARDS",
            "middle_name": "A",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.