Active NPI
Jamie Humpal, LPC
- Contractor
- San Antonio, TX
National Provider Identifier
1801236237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 68530
- Practice address
- 96 Crossroads Blvd Ste 250
San Antonio, TX 78201-6523 - Phone
- (210) 736-0106
- Fax
- (210) 736-2609
- NPI assigned
- Jun 30, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 68530 | TX | Primary |
Addresses
Primary practice location
96 Crossroads Blvd Ste 250
San Antonio, TX 78201-6523
Mailing address
12526 La Manana St
San Antonio, TX 78233-6331
Phone (210) 273-8372
Other names 1
- Jamie Mershon
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 |
|---|---|---|---|
| 68530 | TX | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372550400000",
"number": "1801236237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12526 LA MANANA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782336331",
"telephone_number": "210-273-8372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 CROSSROADS BLVD STE 250",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782016523",
"telephone_number": "210-736-0106",
"fax_number": "210-736-2609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPAL",
"first_name": "JAMIE",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-30",
"last_updated": "2013-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "TX",
"license": "68530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "MERSHON",
"credential": "LPC",
"code": "5",
"type": "Other Name"
}
]
}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 Jun 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.