Individual provider Active NPI

Amalia Miroslava Garcia

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1871270074
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
86324 Issued in TX
Practice address
17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098
Phone
(210) 314-2026
Fax
(210) 569-7714
NPI assigned
Jun 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 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 86324 TX Primary

Addresses

Primary practice location

17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098

Mailing address

17890 Blanco Rd Ste 307
San Antonio, TX 78232-1098
Phone (210) 314-2026

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
I20240523002728 TX Practitioner - Mental Health Counselor 1850740788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nueva Vida Behavioral Health Associates, IncGroup PAC ID 1052540176, 35 clinicians

Practice addresses (Care Compare)

9500 Tioga Dr
Suite a
San Antonio, TX 78230-3118
Phone (210) 616-0828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86324TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nueva Vida Behavioral Health Associates,Inc Mental Health CurrentSince Mar 25, 2024 Accepting new patients

Locations

102 Palo Alto Rd
Ste 300
San Antonio, TX 78211
Phone (210) 922-0828

9500 Tioga Dr
Ste A
San Antonio, TX 78230
Phone (210) 616-0828

700 S Zarzamora St
Ste 106
San Antonio, TX 78207
Phone (210) 338-5695

Organizations & group practices 1

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1871270074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-314-2026",
            "fax_number": "210-569-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17890 BLANCO RD STE 307",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321098",
            "telephone_number": "210-314-2026",
            "fax_number": "210-569-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "AMALIA",
        "middle_name": "MIROSLAVA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.