Individual provider Active NPI

Rick Wadsworth, M.ED, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1770729634
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
20079 Issued in TX
Practice address
12915 Jones Maltsberger Rd
420
San Antonio, TX 78247-4282
Phone
(210) 383-3180
NPI assigned
Dec 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20079 TX
Professional Counselor 101YP2500X 20079 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd
420
San Antonio, TX 78247-4282

Mailing address

12915 Jones Maltsberger Rd
420
San Antonio, TX 78247-4282
Phone (210) 383-3180

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805004084 TX Practitioner - Mental Health Counselor 4082122429 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
20079TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1230163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413849600000",
    "number": "1770729634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD",
            "address_2": "420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474282",
            "telephone_number": "210-383-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD",
            "address_2": "420",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474282",
            "telephone_number": "210-383-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADSWORTH",
        "first_name": "RICK",
        "name_prefix": "Mr.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-25",
        "last_updated": "2014-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20079",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.