Individual provider Active NPI

James Richard Layne, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1740296441
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17972 Issued in TX
Practice address
3740 Colony Dr Ste 125
San Antonio, TX 78230-2365
Phone
(210) 818-1707
Fax
(210) 641-2940
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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 17972 TX Primary

Addresses

Primary practice location

3740 Colony Dr Ste 125
San Antonio, TX 78230-2365

Mailing address

3740 Colony Dr Ste 125
San Antonio, TX 78230-2365
Phone (210) 386-6547

Other identifiers 1

IdentifierTypeStateIssuer
155465102MedicaidTX

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
I20240123000441 TX Practitioner - Mental Health Counselor 1759733090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Layne Counseling, PLLCGroup PAC ID 6103924048, 3 clinicians

Practice addresses (Care Compare)

8637 Fredericksburg Rd
Suite 149
San Antonio, TX 78240-1218
Phone (210) 818-1707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Layne Counseling, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Lifetime Christian Counselors LLC Professional Past Accepting new patients
Richard Layne, Ma, LPC, Tic Professional Past Accepting new patients

Locations

3740 Colony Dr
Ste 122
San Antonio, TX 78230
Phone (210) 733-9929

8637 Fredericksburg Rd
Ste 149
San Antonio, TX 78240
Phone (210) 828-3737

Organizations & group practices 3

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1740296441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302365",
            "telephone_number": "210-386-6547",
            "fax_number": "210-641-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 COLONY DR STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302365",
            "telephone_number": "210-818-1707",
            "fax_number": "210-641-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNE",
        "first_name": "JAMES",
        "middle_name": "RICHARD",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155465102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.