Active NPI
Krystal Kosub, LMFT
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1811364615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201767
- Practice address
- 3031 W Ih 10
San Antonio, TX 78201-5159 - Phone
- (210) 261-1000
- Fax
- (210) 731-8678
- NPI assigned
- Aug 27, 2015
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 201767 | TX | Primary |
Addresses
Primary practice location
3031 W Ih 10
San Antonio, TX 78201-5159
Mailing address
3031 W Ih 10
San Antonio, TX 78201-5159
Phone (210) 261-1000
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 |
|---|---|---|---|
| 201767 | TX | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441065600000",
"number": "1811364615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3031 W IH 10",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015159",
"telephone_number": "210-261-1000",
"fax_number": "210-731-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3031 W IH 10",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782015159",
"telephone_number": "210-261-1000",
"fax_number": "210-731-8678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSUB",
"first_name": "KRYSTAL",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2015-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201767",
"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 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.