Active NPI
Amanda Marissa Cantu, LPC-S
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1770001885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 11331 Pebble BLF
San Antonio, TX 78254-4832 - Phone
- (210) 904-7577
- NPI assigned
- Sep 8, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | TX | Primary |
Addresses
Primary practice location
11331 Pebble BLF
San Antonio, TX 78254-4832
Mailing address
11331 Pebble BLF
San Antonio, TX 78254-4832
Phone (210) 904-7577
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138708611 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779235200000",
"number": "1770001885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11331 PEBBLE BLF",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782544832",
"telephone_number": "210-904-7577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11331 PEBBLE BLF",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782544832",
"telephone_number": "210-904-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTU",
"first_name": "AMANDA",
"middle_name": "MARISSA",
"credential": "LPC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-08",
"last_updated": "2026-05-20",
"certification_date": "2026-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708611",
"state": "TX"
}
],
"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 May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.