Active NPI
Telecare Mental Health Services of Texas, Inc.
- Mental Health Counselor
- San Antonio, TX
National Provider Identifier
1750463907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TELECARE MENTAL HEALTH SERVICES OF TEXAS, INC.
- Practice address
- 2391 NE Loop 410
Suite 120
San Antonio, TX 78217-5600 - Phone
- (210) 222-0152
- Fax
- (210) 222-1392
- NPI assigned
- Oct 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marshall Langfeld
- Title
- Cfo, Vice President
- Phone
- (510) 337-7950
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Clinical Social Worker | 1041C0700X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
2391 NE Loop 410
Suite 120
San Antonio, TX 78217-5600
Mailing address
1080 Marina Village Pkwy
Suite 100
Alameda, CA 94501-6427
Phone (510) 337-7950
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163459401 | Medicaid | TX |
Other names 1
- San Antonio ACT Services
National Provider Directory
National Provider DirectoryLocations
2391 NE Loop 410
Ste 120
San Antonio, TX 78217
Phone (210) 222-0152
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312156800000",
"number": "1750463907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1080 MARINA VILLAGE PKWY",
"address_2": "SUITE 100",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945016427",
"telephone_number": "510-337-7950",
"fax_number": "510-337-7969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2391 NE LOOP 410",
"address_2": "SUITE 120",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175600",
"telephone_number": "210-222-0152",
"fax_number": "210-222-1392"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TELECARE MENTAL HEALTH SERVICES OF TEXAS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2011-08-01",
"status": "A",
"authorized_official_last_name": "LANGFELD",
"authorized_official_first_name": "MARSHALL",
"authorized_official_title_or_position": "CFO, VICE PRESIDENT",
"authorized_official_telephone_number": "510-337-7950"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163459401",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "San Antonio ACT Services",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.