Individual provider Active NPI

Eliot Theodore Schechter, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1861917692
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75461 Issued in TX
Practice address
1347 Fulton Ave
San Antonio, TX 78201-5113
Phone
(210) 542-7834
Fax
(210) 735-9436
NPI assigned
Aug 14, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 75461 TX Primary

Addresses

Primary practice location

1347 Fulton Ave
San Antonio, TX 78201-5113

Mailing address

1347 Fulton Ave
San Antonio, TX 78201-5113
Phone (210) 542-7834

Other practice location 1

501 W Cantu Rd Ste 400
Del Rio, TX 78840-3057
Phone (830) 774-4447

Other identifiers 2

IdentifierTypeStateIssuer
3790800-001MedicaidTX
3790800-002MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1861917692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 FULTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015113",
            "telephone_number": "210-542-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 FULTON AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782015113",
            "telephone_number": "210-542-7834",
            "fax_number": "210-735-9436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 W Cantu Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Del Rio",
            "state": "TX",
            "postal_code": "788403057",
            "country_code": "US",
            "telephone_number": "830-774-4447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHECHTER",
        "first_name": "ELIOT",
        "middle_name": "THEODORE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-12-15",
        "certification_date": "2023-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3790800-001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3790800-002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.