Organization Active NPI

Behavioral Support Center, LLC

Doing business as BSC

  • Specialist
  • San Antonio, TX
National Provider Identifier
1922372267
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BEHAVIORAL SUPPORT CENTER, LLC
Doing business as
BSC
Practice address
8546 Broadway St BLDG C
BLDG C Suite 200
San Antonio, TX 78217-6376
Phone
(210) 526-1806
Fax
(210) 547-7984
NPI assigned
Mar 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Authorized official

Name
Mr. Johnny R. Ybarra, LCDC, MAC, SAP, QASPNPI 1861774887
Title
Ceo/Executive Director
Phone
(210) 526-1806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LCDC TX: 12124 TX
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

8546 Broadway St BLDG C
BLDG C Suite 200
San Antonio, TX 78217-6376

Mailing address

8546 Broadway St
Ste. 200
San Antonio, TX 78217-6376
Phone (210) 526-1806

Other names 1

  • BSC Doing business as

National Provider Directory

National Provider Directory

Locations

8546 Broadway
Ste 200
San Antonio, TX 78217
Phone (210) 526-1806

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464134400000",
    "number": "1922372267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8546 BROADWAY ST",
            "address_2": "STE. 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176376",
            "telephone_number": "210-526-1806",
            "fax_number": "210-547-7984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8546 BROADWAY ST BLDG C",
            "address_2": "BLDG C SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782176376",
            "telephone_number": "210-526-1806",
            "fax_number": "210-547-7984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHAVIORAL SUPPORT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-05",
        "last_updated": "2016-05-25",
        "status": "A",
        "authorized_official_last_name": "YBARRA",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "210-526-1806",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCDC, MAC, SAP, QASP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "LCDC TX: 12124",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BSC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 25, 2016; 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.