NPIMap

Organization Active NPI

Mendez Counseling Centers, PLLC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1710626478
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MENDEZ COUNSELING CENTERS, PLLC
Practice address
8207 Callaghan Rd Ste 350
San Antonio, TX 78230-4737
Phone
(210) 891-5610
NPI assigned
Jun 1, 2022
Last updated
Jun 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Authorized official

Name
Gloria Jean Mendez, LPC-S
Title
Director of Clinical Operations
Phone
(210) 891-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

8207 Callaghan Rd Ste 350
San Antonio, TX 78230-4737

Mailing address

8615 Copperbluff
Converse, TX 78109-3913
Phone (210) 780-9795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230306001953 TX Part B Supplier - Clinic/Group Practice 8426421801 Receives reassigned benefits from 11 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

4242 Medical Dr
Ste 3200
San Antonio, TX 78229
Phone (210) 418-2094

8207 Callaghan Rd
Ste 350
San Antonio, TX 78230
Phone (210) 418-2094

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654041600000",
    "number": "1710626478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 COPPERBLUFF",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781093913",
            "telephone_number": "210-780-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 CALLAGHAN RD STE 350",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782304737",
            "telephone_number": "210-891-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDEZ COUNSELING CENTERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "210-891-5610",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.