Individual provider Active NPI

Cheryl Lynne Shulter, MA, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1831418813
Registry record updated Apr 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64608 Issued in TX
Practice address
900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407
Phone
(210) 822-2600
Fax
(210) 822-2685
NPI assigned
May 31, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2023

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 64608 TX Primary

Addresses

Primary practice location

900 NE Loop 410 Ste D200
San Antonio, TX 78209-1407

Mailing address

900 NE Loop 410
Suite D-101
San Antonio, TX 78209-1410
Phone (210) 822-2600

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
I20231128001955 TX Practitioner - Mental Health Counselor 5991930166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamo Heights Counseling Inc.Group PAC ID 1355576521, 12 clinicians

Practice addresses (Care Compare)

900 NE Loop
410 Suite D200
San Antonio, TX 78209-1407
Phone (210) 822-2600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Heights Counseling Inc. Professional CurrentSince Dec 31, 2012 Accepting new patients
South Texas Psychotherapy Professional Past Accepting new patients

Locations

900 NE Loop 410
Ste D101
San Antonio, TX 78209
Phone (210) 255-2839

900 NE Loop 410
Ste D200
San Antonio, TX 78209
Phone (210) 822-2600

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": "1275264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680307200000",
    "number": "1831418813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 NE LOOP 410",
            "address_2": "SUITE D-101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091410",
            "telephone_number": "210-822-2600",
            "fax_number": "210-822-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NE LOOP 410 STE D200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091407",
            "telephone_number": "210-822-2600",
            "fax_number": "210-822-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTER",
        "first_name": "CHERYL",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-31",
        "last_updated": "2023-04-01",
        "certification_date": "2023-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.