Active NPI
Mary Vadakekalam
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1932501251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1636 Lockhill Selma Rd
San Antonio, TX 78213-1929 - Phone
- (210) 541-8455
- Fax
- (210) 541-9477
- NPI assigned
- Sep 17, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Professional Counselor | 101YP2500X | TX | Primary |
Addresses
Primary practice location
1636 Lockhill Selma Rd
San Antonio, TX 78213-1929
Mailing address
307 Bentley MNR
Shavano Park, TX 78249-2021
Other practice location 1
1 Chisholm Trail Rd Ste 450
Round Rock, TX 78681-5094
Phone (512) 796-6486
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Endeavors, LLC | Current | Accepting new patients | |
| Alpha Mental Health and Wellness, PLLC | Past | Accepting new patients | |
| Behavioral Health Specialists (de), P.a. | Professional | Past | Accepting new patients |
Locations
1636 Lockhill Selma Rd
San Antonio, TX 78213
Phone (210) 541-8455
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 and National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
- NPI 1841707874
-
- Psychiatric/Mental Health Nurse Practitioner
- San Antonio, TX
- NPI 1366982472
-
- Neurology Physician
- Sugar Land, TX
- NPI 1831619410
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630627200000",
"number": "1932501251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 BENTLEY MNR",
"city": "SHAVANO PARK",
"state": "TX",
"postal_code": "782492021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1636 LOCKHILL SELMA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131929",
"telephone_number": "210-541-8455",
"fax_number": "210-541-9477"
}
],
"practiceLocations": [
{
"address_1": "1 Chisholm Trail Rd Ste 450",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786815094",
"country_code": "US",
"telephone_number": "512-796-6486",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VADAKEKALAM",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2021-09-03",
"certification_date": "2021-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": null,
"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 Sep 3, 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.