Organization Active NPI

Freedom Restoration Counseling PLLC

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1710399688
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201777 Issued in TX
Legal business name
FREEDOM RESTORATION COUNSELING PLLC
Practice address
1162 E Sonterra Blvd
Ste. 130
San Antonio, TX 78258-4047
Phone
(210) 789-0897
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Mrs. Ahna E. N. MinkNPI 1588946560
Title
LMFT
Phone
(210) 789-0897

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 201777 TX Primary

Addresses

Primary practice location

1162 E Sonterra Blvd
Ste. 130
San Antonio, TX 78258-4047

Mailing address

1162 E Sonterra Blvd
Ste. 130
San Antonio, TX 78258-4047
Phone (210) 789-0897

Other identifiers 1

IdentifierTypeStateIssuer
722310OtherTXVALUE OPTIONS/MOS

National Provider Directory

National Provider Directory

Locations

1162 E Sonterra Blvd
Ste 130
San Antonio, TX 78258
Phone (210) 490-9062

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1710399688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 E SONTERRA BLVD",
            "address_2": "STE. 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584047",
            "telephone_number": "210-789-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 E SONTERRA BLVD",
            "address_2": "STE. 130",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584047",
            "telephone_number": "210-789-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM RESTORATION COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MINK",
        "authorized_official_first_name": "AHNA",
        "authorized_official_middle_name": "E. N.",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "210-789-0897",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS/MOS",
            "identifier": "722310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 27, 2014; 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.