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NPI 1053664664ActiveOrganization· Psychologist, Counseling· San Antonio, TX
Psychologist, Counseling in San Antonio, Texas, registered in NPPES in October 2012. The authorized official on file is Denise Y. Johnson, Director Of Client Services.
Overview
| NPI | 1053664664 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 19, 2012 |
| Last updated in NPPES | Dec 12, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Counselor, Pastoral | 101YP1600X | — | — |
| Social Worker, Clinical | 1041C0700X | 32426 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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