Active NPI
Patricia Coronado
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1770856189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14145
- Practice address
- 8000 W Interstate 10
Suite 600
San Antonio, TX 78230-3802 - Phone
- (210) 613-5334
- NPI assigned
- Feb 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14145 | TX | |
| Mental Health Counselor | 101YM0800X | 14145 | TX | |
| Professional Counselor | 101YP2500X | 14145 | TX | Primary |
Addresses
Primary practice location
8000 W Interstate 10
Suite 600
San Antonio, TX 78230-3802
Mailing address
PO Box 692202
San Antonio, TX 78269-2202
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14145 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ayuda Kids | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- San Antonio, TX
- NPI 1528425626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333497600000",
"number": "1770856189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 692202",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782692202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 W INTERSTATE 10",
"address_2": "SUITE 600",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782303802",
"telephone_number": "210-613-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORONADO",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-15",
"last_updated": "2012-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "14145",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "14145",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14145",
"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, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.