Individual provider Active NPI

Ivan Elizondo, MS, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1821884784
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82967 Issued in TX
Practice address
5522 Lone Star Pkwy Ste 303
San Antonio, TX 78253-6722
Phone
(210) 664-1275
NPI assigned
Apr 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 82967 TX Primary

Addresses

Primary practice location

5522 Lone Star Pkwy Ste 303
San Antonio, TX 78253-6722

Mailing address

28153 Cactus LN
San Benito, TX 78586-9446
Phone (956) 240-7832

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
I20250513000665 TX Practitioner - Mental Health Counselor 8729506829 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
82967TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC Professional CurrentSince Mar 9, 2025 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Mar 9, 2025 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

Organizations & group practices 2

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": "1744934400000",
    "number": "1821884784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28153 CACTUS LN",
            "city": "SAN BENITO",
            "state": "TX",
            "postal_code": "785869446",
            "telephone_number": "956-240-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5522 LONE STAR PKWY STE 303",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536722",
            "telephone_number": "210-664-1275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZONDO",
        "first_name": "IVAN",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.