Active NPI
Stephen L. Cervantes, LPC, LMFT
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1730247420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2638
- Practice address
- 325 E Sonterra Blvd Ste 230
San Antonio, TX 78258-4056 - Phone
- (210) 490-9062
- Fax
- (707) 455-6037
- NPI assigned
- Dec 5, 2006
- Last updated
- Oct 29, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2638 | TX | Primary |
Addresses
Primary practice location
325 E Sonterra Blvd Ste 230
San Antonio, TX 78258-4056
Mailing address
1091 Hidden Oaks Dr
Bulverde, TX 78163-3050
Phone (210) 858-9330
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 |
|---|---|---|---|
| 2638 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1730247420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1091 HIDDEN OAKS DR",
"city": "BULVERDE",
"state": "TX",
"postal_code": "781633050",
"telephone_number": "210-858-9330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 E SONTERRA BLVD STE 230",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584056",
"telephone_number": "210-490-9062",
"fax_number": "707-455-6037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "STEPHEN",
"middle_name": "L.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-05",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "2638",
"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 Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.