Active NPI
Mystri Lea Hipsher, MA, LPC, LPCC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1972046514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75558
- Practice address
- 4243 E Piedras Dr BLDG Suite100
San Antonio, TX 78228-1421 - Phone
- (210) 733-7118
- Fax
- (210) 775-6601
- NPI assigned
- Nov 30, 2016
- Last updated
- Jun 12, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 75558 | TX | Primary |
Addresses
Primary practice location
4243 E Piedras Dr BLDG Suite100
San Antonio, TX 78228-1421
Mailing address
4243 E Piedras Dr BLDG Suite100
San Antonio, TX 78228-1421
Phone (210) 733-7118
Other practice location 1
1504 N Chaco Ave
Farmington, NM 87401-7006
Phone (505) 635-3087
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 75558 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Psychiatric Associates | Multi-Specialty | Past | Accepting new patients |
| Pathways Youth & Family Services, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 2
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": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718150400000",
"number": "1972046514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4243 E PIEDRAS DR BLDG SUITE100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281421",
"telephone_number": "210-733-7118",
"fax_number": "210-775-6601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4243 E PIEDRAS DR BLDG SUITE100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782281421",
"telephone_number": "210-733-7118",
"fax_number": "210-775-6601"
}
],
"practiceLocations": [
{
"address_1": "1504 N Chaco Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "NM",
"postal_code": "874017006",
"country_code": "US",
"telephone_number": "505-635-3087",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HIPSHER",
"first_name": "MYSTRI",
"middle_name": "LEA",
"credential": "MA, LPC, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2024-06-12",
"certification_date": "2024-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75558",
"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 12, 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.