Active NPI
Wondra Chang, LPC
- Counselor
- San Antonio, TX
National Provider Identifier
1811122179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 14563(LPC)
- Practice address
- 7709 Broadway St.
#115
San Antonio, TX 78209 - Phone
- (210) 385-2639
- NPI assigned
- May 15, 2009
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 14563(LPC) | TX | Primary |
Addresses
Primary practice location
7709 Broadway St.
#115
San Antonio, TX 78209
Mailing address
7709 Broadway St.
#115
San Antonio, TX 78209
Phone (210) 385-2639
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113113801 | Medicaid | TX |
Other names 1
- Wondra Bilbe
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 |
|---|---|---|---|
| 14563(LPC) | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242691200000",
"number": "1811122179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7709 BROADWAY ST.",
"address_2": "#115",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78209",
"telephone_number": "210-385-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7709 BROADWAY ST.",
"address_2": "#115",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78209",
"telephone_number": "210-385-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANG",
"first_name": "WONDRA",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-15",
"last_updated": "2009-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "14563(LPC)",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "113113801",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WONDRA",
"last_name": "BILBE",
"code": "1",
"type": "Former 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 May 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.