Active NPI
Miriam Martinez Elizondo, MS, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1720259781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62118
- Practice address
- 8527 Braun KNL
San Antonio, TX 78254-5584 - Phone
- (210) 521-9469
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 62118 | TX | Primary |
Addresses
Primary practice location
8527 Braun KNL
San Antonio, TX 78254-5584
Mailing address
1222 N Main Ave Ste 740
San Antonio, TX 78212-5711
Phone (210) 271-7411
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62118 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1720259781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 N MAIN AVE STE 740",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782125711",
"telephone_number": "210-271-7411",
"fax_number": "210-271-9411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8527 BRAUN KNL",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782545584",
"telephone_number": "210-521-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELIZONDO",
"first_name": "MIRIAM",
"middle_name": "MARTINEZ",
"name_prefix": "Mrs.",
"credential": "MS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62118",
"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 Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.