Active NPI
Diane M Cantrell, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1881801736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12275
- Practice address
- 15600 San Pedro
Suite 101
San Antonio, TX 78232-3740 - Phone
- (210) 403-2343
- Fax
- (210) 403-2350
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12275 | TX | Primary |
Addresses
Primary practice location
15600 San Pedro
Suite 101
San Antonio, TX 78232-3740
Mailing address
15600 San Pedro
Suite 101
San Antonio, TX 78232-3740
Phone (210) 403-2343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121917205 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1881801736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15600 SAN PEDRO",
"address_2": "SUITE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323740",
"telephone_number": "210-403-2343",
"fax_number": "210-403-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15600 SAN PEDRO",
"address_2": "SUITE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782323740",
"telephone_number": "210-403-2343",
"fax_number": "210-403-2350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANTRELL",
"first_name": "DIANE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "12275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121917205",
"state": "TX"
}
],
"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 Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.