Active NPI
Germaine M Rosas, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1982915765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 64454
- Practice address
- 7300 Blanco Rd
Suite 501
San Antonio, TX 78216-4936 - Phone
- (210) 326-3964
- NPI assigned
- Jun 28, 2010
- 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 | 64454 | TX | Primary |
Addresses
Primary practice location
7300 Blanco Rd
Suite 501
San Antonio, TX 78216-4936
Mailing address
15427 Fallow Ridge Dr
San Antonio, TX 78248-1822
Phone (210) 326-3964
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220428101 | Medicaid | TX | |
| 9847LC | Other | TX | BCBSTX INDIVIDUAL PROVIDER RECORD ID |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 64454 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325116800000",
"number": "1982915765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15427 FALLOW RIDGE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782481822",
"telephone_number": "210-326-3964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 BLANCO RD",
"address_2": "SUITE 501",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164936",
"telephone_number": "210-326-3964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSAS",
"first_name": "GERMAINE",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-28",
"last_updated": "2011-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "64454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220428101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX INDIVIDUAL PROVIDER RECORD ID",
"identifier": "9847LC",
"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 Dec 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.