Individual provider Active NPI

Anthony Benjamin Chen, M.ED, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1972836021
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
60259 Issued in TX
Practice address
803 Castroville Rd Ste 413
San Antonio, TX 78237-3148
Phone
(210) 436-2339
Fax
(210) 436-2329
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 60259 TX Primary

Addresses

Primary practice location

803 Castroville Rd Ste 413
San Antonio, TX 78237-3148

Mailing address

5827 NW Loop 410 Apt 1014
San Antonio, TX 78238-2511
Phone (210) 320-0949

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
I20240123000363 TX Practitioner - Mental Health Counselor 6507218849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
60259TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Layne Counseling, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients

Locations

8637 Fredericksburg Rd
Ste 149
San Antonio, TX 78240
Phone (210) 828-3737

3740 Colony Dr
Ste 122
San Antonio, TX 78230
Phone (210) 733-9929

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": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1972836021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 NW LOOP 410 APT 1014",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782382511",
            "telephone_number": "210-320-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 CASTROVILLE RD STE 413",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782373148",
            "telephone_number": "210-436-2339",
            "fax_number": "210-436-2329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANTHONY",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "M.ED, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "60259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.