Active NPI
Maryann Canales, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1760655344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61307
- Practice address
- 3031 Ih 10 West
San Antonio, TX 78201-5159 - Phone
- (210) 731-1300
- Fax
- (210) 731-1310
- NPI assigned
- Apr 4, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 61307 | TX | |
| Professional Counselor | 101YP2500X | 61307 | TX | Primary |
Addresses
Primary practice location
3031 Ih 10 West
San Antonio, TX 78201-5159
Mailing address
3031 Ih 10 West
San Antonio, TX 78201-5159
Phone (210) 731-1300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61307 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Shine Medical Providers PC | Past | Accepting new patients | |
| Inmindout Emotional Wellness Center, LLC | Professional | Past | Accepting new patients |
Locations
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
Organizations & group practices 5
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.
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1952690463
-
- Psychiatry Physician
- Philadelphia, PA
- NPI 1538894050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207267200000",
"number": "1760655344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 IH 10 WEST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015159",
"telephone_number": "210-731-1300",
"fax_number": "210-731-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 IH 10 WEST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015159",
"telephone_number": "210-731-1300",
"fax_number": "210-731-1310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANALES",
"first_name": "MARYANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-04",
"last_updated": "2008-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "61307",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61307",
"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 Apr 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.