Active NPI
Betsy Bouton Puentes, LPC-S, LPA-IP, LMFT
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1821868118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4607
- Practice address
- 102 Hillside Dr
San Antonio, TX 78212-1734 - Phone
- (210) 410-5715
- NPI assigned
- Jan 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 3948 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3690 | TX | |
| Professional Counselor | 101YP2500X | 4607 | TX | Primary |
Addresses
Primary practice location
102 Hillside Dr
San Antonio, TX 78212-1734
Mailing address
102 Hillside Dr
San Antonio, TX 78212-1734
Phone (210) 410-5715
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 |
|---|---|---|---|
| 3690 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 3948 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 4607 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1821868118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HILLSIDE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782121734",
"telephone_number": "210-410-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 HILLSIDE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782121734",
"telephone_number": "210-410-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUENTES",
"first_name": "BETSY",
"middle_name": "BOUTON",
"name_prefix": "Dr.",
"credential": "LPC-S, LPA-IP, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "3948",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "3690",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "4607",
"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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.