Individual provider Active NPI

Treva L. Neiss, LCSW

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1831414408
Registry record updated Apr 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
SO9757 Issued in TX
Practice address
4201 Medical Dr
Suite 280
San Antonio, TX 78229-5656
Phone
(210) 616-9915
Fax
(210) 616-9710
NPI assigned
Apr 7, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2010

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 SO9757 TX Primary

Addresses

Primary practice location

4201 Medical Dr
Suite 280
San Antonio, TX 78229-5656

Mailing address

4201 Medical Dr
Suite 280
San Antonio, TX 78229-5656
Phone (210) 616-9915

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

LicenseStateTypeSpecialty
SO9757TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270598400000",
    "number": "1831414408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR",
            "address_2": "SUITE 280",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295656",
            "telephone_number": "210-616-9915",
            "fax_number": "210-616-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR",
            "address_2": "SUITE 280",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295656",
            "telephone_number": "210-616-9915",
            "fax_number": "210-616-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEISS",
        "first_name": "TREVA",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-07",
        "last_updated": "2010-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "SO9757",
            "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 Apr 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.