Active NPI
Paul C Irwin, M.ED LPC ,NCC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1972676161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14607
- Practice address
- 22603 Madison Park
San Antonio, TX 78258-2541 - Phone
- (210) 497-0524
- Fax
- (210) 497-0524
- NPI assigned
- Nov 16, 2006
- Sex
- Male
- 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 | 14607 | TX | Primary |
Addresses
Primary practice location
22603 Madison Park
San Antonio, TX 78258-2541
Mailing address
22603 Madison Park
San Antonio, TX 78258-2541
Phone (210) 497-0524
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02914902 | Medicaid | TX |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972676161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22603 MADISON PARK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782582541",
"telephone_number": "210-497-0524",
"fax_number": "210-497-0524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22603 MADISON PARK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782582541",
"telephone_number": "210-497-0524",
"fax_number": "210-497-0524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRWIN",
"first_name": "PAUL",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "M.ED LPC ,NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "14607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02914902",
"state": "TX"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.