Active NPI
Lydia San Miguel, LCDC
- Addiction (Substance Use Disorder) Counselor
- San Antonio, TX
National Provider Identifier
1922840925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 15087
- Practice address
- 1747 Citadel PLZ
San Antonio, TX 78209-1097 - Phone
- (210) 467-5395
- Fax
- (210) 817-1114
- NPI assigned
- Jun 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15087 | TX | Primary |
Addresses
Primary practice location
1747 Citadel PLZ
San Antonio, TX 78209-1097
Mailing address
1747 Citadel PLZ
San Antonio, TX 78209-1097
Phone (210) 467-5395
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15087 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1922840925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 CITADEL PLZ",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091097",
"telephone_number": "210-467-5395",
"fax_number": "210-817-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 CITADEL PLZ",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782091097",
"telephone_number": "210-467-5395",
"fax_number": "210-817-1114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN MIGUEL",
"first_name": "LYDIA",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-10",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "15087",
"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 Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.