Individual provider Active NPI

Rhonda B Otway, MFT

  • Marriage & Family Therapist
  • Fair Oaks Ranch, TX
National Provider Identifier
1831213255
Registry record updated Jan 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202178 Issued in TX
Practice address
8000 Fair Oaks Pkwy
Suite 204
Fair Oaks Ranch, TX 78015-4739
Phone
(830) 302-8540
Fax
(925) 901-0234
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 42530 CA
Marriage & Family Therapist 106H00000X 202178 TX Primary
Professional Counselor 101YP2500X LPCC542 CA

Addresses

Primary practice location

8000 Fair Oaks Pkwy
Suite 204
Fair Oaks Ranch, TX 78015-4739

Mailing address

24165 W Ih 10 # 217-620
San Antonio, TX 78257-1159
Phone (830) 302-8540

Other names 1

  • Rhonda Busse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPCC542CAMDProfessional Counselor
MFC 42530CAMDMarriage & Family Therapist
202178TXMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422057600000",
    "number": "1831213255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W IH 10 # 217-620",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571159",
            "telephone_number": "830-302-8540",
            "fax_number": "925-901-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 FAIR OAKS PKWY",
            "address_2": "SUITE 204",
            "city": "FAIR OAKS RANCH",
            "state": "TX",
            "postal_code": "780154739",
            "telephone_number": "830-302-8540",
            "fax_number": "925-901-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTWAY",
        "first_name": "RHONDA",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2015-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 42530",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202178",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC542",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RHONDA",
            "last_name": "BUSSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fair Oaks Ranch, TX

Sources for this page

Verify at the official NPI Registry.