Active NPI
Louis Ray Komurek
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1740815091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 76997
- Practice address
- 4335 W Piedras Dr Ste 201
San Antonio, TX 78228-1209 - Phone
- (210) 319-0091
- NPI assigned
- Mar 6, 2020
- Last updated
- Mar 6, 2020
- 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 | 76997 | TX | Primary |
Addresses
Primary practice location
4335 W Piedras Dr Ste 201
San Antonio, TX 78228-1209
Mailing address
14526 Sacred
San Antonio, TX 78247-6605
Phone (210) 319-0091
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 |
|---|---|---|---|
| 76997 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1740815091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14526 SACRED",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782476605",
"telephone_number": "210-319-0091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4335 W PIEDRAS DR STE 201",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281209",
"telephone_number": "210-319-0091"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMUREK",
"first_name": "LOUIS",
"middle_name": "RAY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "76997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Joshua Patrick Kollars, MD
- Brittany Dawn Kolodziej, BCBA
- Michelle Ann Kolodziejczyk
- Baikal Vladislav Komissarov, DNP, APRN, FNP-C
- Monique Akossiwa Komla Eklu, LVN
- Pavankashyap Shantharam Konanur, DO
- Andrea Kondoff
- Helen Felicia Konduris, MOTR CHT
- Siva Krishna Prasad Konduru, M.D.
- Nicholas Amruth Koneri, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.