Individual provider Active NPI

Anessa Marie Vargas, LPC

  • Counselor
  • San Antonio, TX
National Provider Identifier
1801410998
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
76663 Issued in TX
Practice address
16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945
Phone
(210) 548-7757
NPI assigned
Jun 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 76663 TX Primary

Addresses

Primary practice location

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945

Mailing address

16607 Blanco Rd Ste 1404
San Antonio, TX 78232-1945
Phone (210) 209-0642

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Counseling4Life

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
I20231228002136 TX Practitioner - Mental Health Counselor 4789034042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Counseling4Life, LLCGroup PAC ID 5496163511, 15 clinicians

Practice addresses (Care Compare)

17206 Blanco Rd
BLDG 2
San Antonio, TX 78232-2816
Phone (210) 209-0642

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
76663TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie a Richards LPC, PLLC CurrentSince Mar 12, 2024 Accepting new patients
Counseling4Life, LLC CurrentSince Jan 1, 2024 Accepting new patients
Goodmindrx PastSince Aug 4, 2024 Accepting new patients

Locations

17206 Blanco Rd
Bldg 2
San Antonio, TX 78232
Phone (210) 209-0642

16607 Blanco Rd
Ste 1404
San Antonio, TX 78232
Phone (210) 209-0642

17206 Blanco Rd
Ste 2101
San Antonio, TX 78232
Phone (210) 209-0642

Organizations & group practices 3

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": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1801410998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-209-0642",
            "fax_number": "855-357-8282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16607 BLANCO RD STE 1404",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321945",
            "telephone_number": "210-548-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "ANESSA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Counseling4Life",
            "affiliation": "N",
            "address_1": "16607 Blanco Rd Ste 1404",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782321945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.