Individual provider Active NPI

Jamoki Zakia Dantzler

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1962988683
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70096 Issued in TX
Practice address
601 N Frio St BLDG 1
San Antonio, TX 78207-3011
Phone
(210) 246-1300
NPI assigned
Jul 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 70096 TX Primary
Mental Health Counselor 101YM0800X 70096 TX

Addresses

Primary practice location

601 N Frio St BLDG 1
San Antonio, TX 78207-3011

Mailing address

5503 Grissom Rd Ste 156
San Antonio, TX 78238-3036
Phone (210) 680-4747

Other practice location 1

12222 Blanco Rd Apt 403
San Antonio, TX 78216-2111
Phone (210) 837-5711 ext. 21083

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

LicenseStateTypeSpecialty
70096TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar County Board of Trustees for Mental Health Mental Retardation Professional PastSince Apr 11, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1962988683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 GRISSOM RD STE 156",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383036",
            "telephone_number": "210-680-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FRIO ST BLDG 1",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073011",
            "telephone_number": "210-246-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12222 Blanco Rd Apt 403",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782162111",
            "country_code": "US",
            "telephone_number": "210-837-5711 x21083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTZLER",
        "first_name": "JAMOKI",
        "middle_name": "ZAKIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-16",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70096",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70096",
            "primary": false
        }
    ],
    "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 Apr 6, 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.

Verify at the official NPI Registry.