Individual provider Active NPI

Olga Imelda Roberts, LMFT

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1851821573
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
202503 Issued in TX
Practice address
12915 Jones Maltsberger Rd Ste 425
San Antonio, TX 78247-4256
Phone
(210) 383-7780
Fax
(210) 569-6367
NPI assigned
Jun 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 202503 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 425
San Antonio, TX 78247-4256

Mailing address

19216 Trailview
San Antonio, TX 78258-4027
Phone (210) 383-7780

Other identifiers 1

IdentifierTypeStateIssuer
202503OtherTXTEXAS STATE LICENSE

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
I20240523002409 TX Practitioner - Marriage and Family Therapist 9436591351 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaniz Counseling and Behavioral Center PCGroup PAC ID 0648596924, 57 clinicians

Practice addresses (Care Compare)

5522 Lone Star Pkwy
Suite 303
San Antonio, TX 78253-6722
Phone (210) 614-4990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
202503TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Apr 15, 2024 Accepting new patients
Alaniz Counseling and Behavioral Center, P.C. CurrentSince Apr 15, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1851821573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19216 TRAILVIEW",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584027",
            "telephone_number": "210-383-7780",
            "fax_number": "210-569-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 425",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474256",
            "telephone_number": "210-383-7780",
            "fax_number": "210-569-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "OLGA",
        "middle_name": "IMELDA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LICENSE",
            "identifier": "202503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.