Individual provider Active NPI

Maryann Canales, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1760655344
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
61307 Issued in TX
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

Updated by the provider on Apr 4, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61307TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Apr 17, 2024 Accepting new patients
Barrio Comprehensive Family Health Care Center, Inc. CurrentSince Apr 17, 2024 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.

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

Verify at the official NPI Registry.