Individual provider Active NPI

Carly Friedman, PHD, MA, LPC

  • Counselor
  • San Antonio, TX
National Provider Identifier
1811783590
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
91850 Issued in TX
Practice address
4115 Medical Dr Ste 410
San Antonio, TX 78229-5637
Phone
(512) 588-3323
NPI assigned
Apr 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 91850 TX Primary

Addresses

Primary practice location

4115 Medical Dr Ste 410
San Antonio, TX 78229-5637

Mailing address

4115 Medical Dr Ste 410
San Antonio, TX 78229-5637
Phone (512) 588-3323

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
I20250709001987 TX Practitioner - Mental Health Counselor 3072027309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luz Counseling and Consulting PLLCGroup PAC ID 3274053459, 3 clinicians

Practice addresses (Care Compare)

4115 Medical Dr
Suite 410
San Antonio, TX 78229-5637
Phone (210) 369-9424

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
91850TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Luz Counseling and Consulting, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

7970 Fredericksburg Rd
#101352
San Antonio, TX 78229

4115 Medical Dr
Ste 410
San Antonio, TX 78229
Phone (210) 369-9424

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1811783590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295637",
            "telephone_number": "512-588-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4115 MEDICAL DR STE 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295637",
            "telephone_number": "512-588-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "CARLY",
        "credential": "PHD, MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "91850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.