Active NPI
Casey Terese Meyers, LCDC
- Addiction (Substance Use Disorder) Counselor
- San Antonio, TX
National Provider Identifier
1760055065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14364
- Practice address
- 2015 NE Loop 410
San Antonio, TX 78217-5411 - Phone
- (210) 588-0508
- NPI assigned
- Jul 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14364 | TX | Primary |
Addresses
Primary practice location
2015 NE Loop 410
San Antonio, TX 78217-5411
Mailing address
2015 NE Loop 410
San Antonio, TX 78217-5411
Phone (210) 588-0508
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 |
|---|---|---|---|
| 14364 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Heron Recovery LLC | Current | Accepting new patients |
Locations
2015 NE Loop 410
San Antonio, TX 78217
Phone (210) 291-6426
Organizations & group practices 1
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.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- San Antonio, TX
- NPI 1861098188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1760055065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 NE LOOP 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175411",
"telephone_number": "210-588-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 NE LOOP 410",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782175411",
"telephone_number": "210-588-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYERS",
"first_name": "CASEY",
"middle_name": "TERESE",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "14364",
"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 Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.