Individual provider Active NPI

Lorena Mendoza-Gibson, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1922127638
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60693 Issued in TX
Practice address
430 W Sunset Rd Ste 400
San Antonio, TX 78209-1772
Phone
(844) 824-8775
NPI assigned
Mar 28, 2007
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 60693 TX
Professional Counselor 101YP2500X 60693 TX Primary

Addresses

Primary practice location

430 W Sunset Rd Ste 400
San Antonio, TX 78209-1772

Mailing address

430 W Sunset Rd Ste 400
San Antonio, TX 78209-1772
Phone (844) 824-8775

Other practice location 1

540 Oak Centre Dr Ste 205
San Antonio, TX 78258-4767
Phone (844) 824-8775

Other identifiers 2

IdentifierTypeStateIssuer
183338601MedicaidTX
60693OtherTXLPC

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
I20240202000952 TX Practitioner - Mental Health Counselor 3274986534 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

430 W Sunset Rd
Suite 400
San Antonio, TX 78209-1772
Phone (844) 824-8775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60693TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rhapsody Counseling and Wellness Center PC Mental Health CurrentSince Jan 17, 2024 Accepting new patients
Progressive Behavioral Health, PLLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 2, 2025 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

11901 Toepperwein Rd
Ste 1106
Live Oak, TX 78233
Phone (210) 286-9339

430 W Sunset Rd
Ste 400
San Antonio, TX 78209
Phone (210) 858-9078

540 Oak Centre Dr
Ste 205
San Antonio, TX 78258
Phone (210) 705-5001

6391 De Zavala Rd
Ste 100
San Antonio, TX 78249
Phone (210) 286-9339

Organizations & group practices 3

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1922127638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W SUNSET RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091772",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W SUNSET RD STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091772",
            "telephone_number": "844-824-8775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "540 Oak Centre Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584767",
            "country_code": "US",
            "telephone_number": "844-824-8775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA-GIBSON",
        "first_name": "LORENA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2024-11-02",
        "certification_date": "2024-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "60693",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183338601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "60693",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.