Organization Active NPI

Sa Youth

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1841029501
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SA YOUTH
Practice address
1215 W Poplar St
San Antonio, TX 78207-1835
Phone
(210) 223-3131
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Authorized official

Name
Maria Benavidez
Title
President, Ceo
Phone
(210) 223-3131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1215 W Poplar St
San Antonio, TX 78207-1835

Mailing address

1215 W Poplar St
San Antonio, TX 78207-1835
Phone (210) 223-3131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250501000913 TX Part B Supplier - Clinic/Group Practice 2062938111 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1215 W Poplar St
San Antonio, TX 78207
Phone (210) 223-3131

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742342400000",
    "number": "1841029501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W POPLAR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071835",
            "telephone_number": "210-223-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W POPLAR ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782071835",
            "telephone_number": "210-223-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA YOUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-17",
        "status": "A",
        "authorized_official_last_name": "BENAVIDEZ",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "210-223-3131"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "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 Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.