Individual provider Active NPI

Kimberly Carter Schmittou, NCC LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1700111317
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10539 Issued in TX
Practice address
211 N Park Blvd
San Antonio, TX 78204-2431
Phone
(210) 478-2987
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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 10539 TX Primary

Addresses

Primary practice location

211 N Park Blvd
San Antonio, TX 78204-2431

Mailing address

3110 Blanco Pass
San Antonio, TX 78259-3401
Phone (210) 478-2987

Other names 1

  • Kimberly Carter Paredes Former name

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
10539TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1700111317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 BLANCO PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782593401",
            "telephone_number": "210-478-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N PARK BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782042431",
            "telephone_number": "210-478-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER SCHMITTOU",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "NCC LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "10539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PAREDES",
            "middle_name": "CARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Oct 15, 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.