Individual provider Active NPI

Jessica Garay Rodriguez, LMFT

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1972189199
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
203869 Issued in TX
Practice address
11230 West Ave Ste 1105
San Antonio, TX 78213-1359
Phone
(210) 293-0883
Fax
(210) 352-9210
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15147 TX
Marriage & Family Therapist 106H00000X 203869 TX Primary

Addresses

Primary practice location

11230 West Ave Ste 1105
San Antonio, TX 78213-1359

Mailing address

11230 West Ave Ste 1105
San Antonio, TX 78213-1359
Phone (210) 293-0883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409004759 TX Practitioner - Marriage and Family Therapist 3779921713 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15147TXMDAddiction (Substance Use Disorder) Counselor
203869TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alamo Wellness Group, LLC CurrentSince Jul 13, 2025 Accepting new patients
Amphyst Behavioral Health, PLLC CurrentSince Sep 3, 2025 Accepting new patients

Locations

11230 West Ave
Ste 1105
San Antonio, TX 78213
Phone (210) 293-0883

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.

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1972189199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 WEST AVE STE 1105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131359",
            "telephone_number": "210-293-0883",
            "fax_number": "210-352-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 WEST AVE STE 1105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131359",
            "telephone_number": "210-293-0883",
            "fax_number": "210-352-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JESSICA",
        "middle_name": "GARAY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15147",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "203869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.