Individual provider Active NPI

Priscilla Perez, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1811556376
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75961 Issued in TX
Practice address
11653 Galm Rd BLDG 2
San Antonio, TX 78254-9506
Phone
(210) 446-6454
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 75961 TX
Professional Counselor 101YP2500X 75961 TX Primary

Addresses

Primary practice location

11653 Galm Rd BLDG 2
San Antonio, TX 78254-9506

Mailing address

11653 Galm Rd BLDG 2
San Antonio, TX 78254-9506
Phone (210) 446-6454

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
I20231129003819 TX Practitioner - Mental Health Counselor 2466800537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grit and Grace Counseling PLLCGroup PAC ID 1557719622, 6 clinicians

Practice addresses (Care Compare)

11653 Galm Rd
BLDG 2
San Antonio, TX 78254-9506
Phone (210) 446-6454

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75961TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grit & Grace Counseling, PLLC Professional CurrentSince Nov 16, 2023 Accepting new patients

Locations

14743 Old Bandera Rd
Unit 14101
Helotes, TX 78023
Phone (210) 485-6127

11653 Galm Rd
Bldg 2
San Antonio, TX 78254
Phone (210) 446-6454

6923 W Loop 1604 N
Ste 119
San Antonio, TX 78254
Phone (210) 446-6454

Organizations & group practices 1

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681862400000",
    "number": "1811556376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11653 GALM RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549506",
            "telephone_number": "210-446-6454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 GALM RD BLDG 2",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549506",
            "telephone_number": "210-446-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "PRISCILLA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75961",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.