Individual provider Active NPI

Guillermo De Hoyos

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1720723372
Registry record updated Feb 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82493 Issued in TX
Practice address
6812 Bandera Rd Ste 102
San Antonio, TX 78238-1378
Phone
(210) 261-3350
Fax
(210) 261-1794
NPI assigned
Apr 28, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2023

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 82493 TX Primary

Addresses

Primary practice location

6812 Bandera Rd Ste 102
San Antonio, TX 78238-1378

Mailing address

6800 Park Ten Blvd Ste 200S
San Antonio, TX 78213-4293
Phone (210) 261-1060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113000678 TX Practitioner - Mental Health Counselor 3072099761 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21111 Amalfi Oaks
San Antonio, TX 78259-1722

2411 NE Loop
410 Suite 114
San Antonio, TX 78217-6600

317 Lexington Ave
Apt 110
San Antonio, TX 78215-1901

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
82493TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Graceland Psychiatric and Neuromodulation Center PLLC CurrentSince Jan 7, 2026 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation Professional PastSince Feb 26, 2023 Accepting new patients

Locations

2003 Rogers Rd
Ste 106
San Antonio, TX 78251
Phone (210) 375-5000

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676851200000",
    "number": "1720723372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 PARK TEN BLVD STE 200S",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134293",
            "telephone_number": "210-261-1060",
            "fax_number": "210-261-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6812 BANDERA RD STE 102",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381378",
            "telephone_number": "210-261-3350",
            "fax_number": "210-261-1794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE HOYOS",
        "first_name": "GUILLERMO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.