Kevin Menchaca

Primary specialty

CounselorTaxonomy code 101Y00000X

License

82582 Issued in TX

Practice address

19141 Stone Oak Pkwy Ste 603
San Antonio, TX 78258-3366

Phone

(210) 495-3131

Fax

(844) 272-8032

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Fit Therapy of Texas, LLC

  • Professional Counselor
  • San Antonio, TX
  • NPI 1285008342
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1760056212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 AUSTIN HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782181850",
            "telephone_number": "210-291-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 STONE OAK PKWY STE 603",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583366",
            "telephone_number": "210-495-3131",
            "fax_number": "844-272-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENCHACA",
        "first_name": "KEVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "82582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ash-Lee Menchaca-Garcia
• Annabel Menchaca, LPC
• Arturo Menchaca Jr., NP-C
• Elizabeth Anne Menchaca, P.T.
• Esther Menchaca, M.A. ,SLP
• Laura Menchaca
• Melanie Menchaca
• Melanie Ann Menchaca
• Richard G. Menchaca Jr., D.D.S.
• Roberto Menchaca III

• Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.

Verify at the official NPI Registry.