Individual provider Active NPI

Adrianna Judith Garza-Gongora, LBSW, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1780119974
Registry record updated Apr 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
72785 Issued in TX
Practice address
4207 Gardendale St Ste 100B
San Antonio, TX 78229-3142
Phone
(210) 570-8535
Fax
(210) 749-7566
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 72785 TX Primary
Social Worker 104100000X 40427 TX

Addresses

Primary practice location

4207 Gardendale St Ste 100B
San Antonio, TX 78229-3142

Mailing address

8526 Nichols Stone
Boerne, TX 78015-5069
Phone (210) 835-7566

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

LicenseStateTypeSpecialty
72785TXMDProfessional Counselor
40427TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Services Inc CurrentSince Apr 6, 2025 Accepting new patients

Locations

4207 Gardendale St
Ste 100B
San Antonio, TX 78229
Phone (210) 570-8535

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.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1780119974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8526 NICHOLS STONE",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780155069",
            "telephone_number": "210-835-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 GARDENDALE ST STE 100B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293142",
            "telephone_number": "210-570-8535",
            "fax_number": "210-749-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA-GONGORA",
        "first_name": "ADRIANNA",
        "middle_name": "JUDITH",
        "credential": "LBSW, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72785",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "40427",
            "primary": false
        }
    ],
    "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 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.