Individual provider Active NPI

Vedabrata Basu, MS, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1881270445
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
79261 Issued in TX
Practice address
8310 Ewing Halsell Dr
San Antonio, TX 78229-3715
Phone
(210) 616-0885
NPI assigned
Mar 23, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 79261 TX Primary

Addresses

Primary practice location

8310 Ewing Halsell Dr
San Antonio, TX 78229-3715

Mailing address

8415 Avalon Star
San Antonio, TX 78240-3646
Phone (210) 240-5719

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
79261TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Ecumenical Center for Religion and Health CurrentSince Mar 28, 2021 Accepting new patients
Inmindout Emotional Wellness Center, LLC Professional Past Accepting new patients

Locations

8310 Ewing Halsell Dr
San Antonio, TX 78229
Phone (210) 616-0885

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": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1881270445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 AVALON STAR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782403646",
            "telephone_number": "210-240-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 EWING HALSELL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293715",
            "telephone_number": "210-616-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASU",
        "first_name": "VEDABRATA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "79261",
            "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 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.