Active NPI
Efrain Avila Jr., EDD, LPC, LCPC
- Counselor
- San Antonio, TX
National Provider Identifier
1710147921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 64717
- Practice address
- 94 Briggs St Ste 700
San Antonio, TX 78224-1272 - Phone
- (210) 924-3556
- Fax
- (210) 924-3557
- NPI assigned
- Jun 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 64717 | TX | Primary |
| Professional Counselor | 101YP2500X | 180-004466 | IL | |
| Mental Health Counselor | 101YM0800X | 64717 | TX | |
| Professional Counselor | 101YP2500X | 180004466 | IL | |
| Professional Counselor | 101YP2500X | 64717 | TX |
Addresses
Primary practice location
94 Briggs St Ste 700
San Antonio, TX 78224-1272
Mailing address
P.O. Box 2203
Dublin, CA 94568
Phone (815) 985-8924
Other names 1
- Efrain Avila-Juarbe
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 |
|---|---|---|---|
| 180-004466 | IL | MD | Professional Counselor |
| 180004466 | IL | MD | Professional Counselor |
| 64717 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1710147921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2203",
"city": "DUBLIN",
"state": "CA",
"postal_code": "94568",
"telephone_number": "815-985-8924",
"fax_number": "210-924-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94 BRIGGS ST STE 700",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782241272",
"telephone_number": "210-924-3556",
"fax_number": "210-924-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "EFRAIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "EDD, LPC, LCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-11",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "64717",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180-004466",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "64717",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180004466",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64717",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "EFRAIN",
"last_name": "AVILA-JUARBE",
"credential": "EDD, LPC, LCPC",
"code": "5",
"type": "Other 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 Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.