Active NPI
Ida Villavicencio
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1699625194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 94890
- Practice address
- 7843 Clos Du Bois
San Antonio, TX 78253-4880 - Phone
- (210) 324-0940
- NPI assigned
- Feb 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 94890 | TX | Primary |
Addresses
Primary practice location
7843 Clos Du Bois
San Antonio, TX 78253-4880
Mailing address
7843 Clos Du Bois
San Antonio, TX 78253-4880
Phone (210) 324-0940
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94890 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1699625194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7843 CLOS DU BOIS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534880",
"telephone_number": "210-324-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7843 CLOS DU BOIS",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782534880",
"telephone_number": "210-324-0940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAVICENCIO",
"first_name": "IDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-02",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "94890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
- Sandra Yamasaki Villasenor, PT
- Aaron Collins Villastrigo, DDS
- Carmen Julia Villatoro, LVN
- Rex Gaspar Villaverde, PTA
- Bertha Maidolys Villavicencio Estrada, FNP
- Diana Villazana-Kretzer, D.O
- Rosalia Villegas-Gonzalez, FNP
- Andrew Estevan Villegas, BCBA1077001
- Daniel Villegas, ATC
- Jessie Zepeda Villegas, L.AC.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.