Active NPI
Kinsey Andecover
- Behavior Technician
- San Antonio, TX
National Provider Identifier
1780335190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112411
- Practice address
- 1251 S Sherman St
Richardson, TX 75081-6514 - Phone
- (469) 436-3290
- NPI assigned
- Jan 17, 2022
- Reactivated
- Sep 9, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 112411 | TX | Primary |
Addresses
Primary practice location
1251 S Sherman St
Richardson, TX 75081-6514
Mailing address
1614 Deer Run St
San Antonio, TX 78232-4413
Phone (702) 539-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1780335190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 DEER RUN ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782324413",
"telephone_number": "702-539-3800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 S SHERMAN ST",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750816514",
"telephone_number": "469-436-3290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIGUEZ",
"first_name": "KINSEY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"deactivation_date": "2026-08-07",
"reactivation_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "112411",
"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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.