Active NPI
Warren Martin Sheridan Jr., M.A., LPC-A
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1992575708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 93116
- Practice address
- 215 Barbuda St
San Antonio, TX 78227-2401 - Phone
- (210) 807-1806
- NPI assigned
- Jan 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 93116 | TX | |
| Mental Health Counselor | 101YM0800X | 93116 | TX | |
| Professional Counselor | 101YP2500X | 93116 | TX | Primary |
Addresses
Primary practice location
215 Barbuda St
San Antonio, TX 78227-2401
Mailing address
215 Barbuda St
San Antonio, TX 78227-2401
Phone (210) 807-1806
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 |
|---|---|---|---|
| 93116 | TX | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onpurpose Services | Counselor | Past | Accepting new patients |
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": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1992575708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 BARBUDA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782272401",
"telephone_number": "210-807-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 BARBUDA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782272401",
"telephone_number": "210-807-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERIDAN",
"first_name": "WARREN",
"middle_name": "MARTIN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "M.A., LPC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "93116",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "93116",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "93116",
"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 Jan 3, 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.