ETHSEL LARA (NPI# 1134743735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134743735 |
| Entity Type | Individual |
| Full Name | ETHSEL LARA |
| Credential | QMHP-CS |
| Practice Address |
2822 N Loop 1604 W Ste 111 San Antonio TX 78248-4551 |
| Practice Telephone | 2102734085 |
| Mailing Telephone | 2102734085 |
| Enumeration Date | 2020-05-31 |
| Last Update Date | 2020-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
TX | Behavioral Health & Social Service Providers |
| Street Address |
2822 N LOOP 1604 W STE 111 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78248-4551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876879 | Diana Ibarra | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2019-11-19 |
| 1386244259 | Asia Robinson | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-10-29 |
| 1023618998 | Natalie Rodriguez | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-10-29 |
| 1922608892 | Pamela Bovaird | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-10-29 |
| 1437759305 | Alyssa Cerda | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-10-29 |
| 1073125993 | Stacy Babella | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-08-21 |
| 1881206704 | Victoria Suzanne Olivarri | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-08-21 |
| 1336751254 | Rosa Tovar-curiel | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-08-21 |
| 1710501234 | Mary Bitela | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-06-01 |
| 1356965875 | Baylynn Dean | Counselor | 2822 N Loop 1604 W Ste 111, San Antonio, TX 78248-4551 | 2020-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013443142 | Sarah Treat | Dietitian, Registered | 16535 Huebner, Suite 112, San Antonio, TX 78248 | 2017-05-10 |
| 1619351541 | Inmotion Prosthetics and Orthotics LLC | Prosthetic/Orthotic Supplier | 15303 Huebner Rd., Bldg. 8, San Antonio, TX 78248 | 2015-07-09 |
| 1952707721 | Mary Ruesewald | Nurse Practitioner | 1150 Northwest Loop1604, San Antonio, TX 78248 | 2014-11-06 |
| 1538402672 | Luis Sergio Cardenas II | Nurse Practitioner | 16601 Huebner Road, San Antonio, TX 78248 | 2013-03-27 |
| 1225330004 | Saul Haskell Rosenthal | Psychiatry & Neurology | 14787 Cadillac Drive, San Antonio, TX 78248 | 2010-11-30 |
| 1609181833 | Thomas Charles Stehling | Pharmacist | 1150 Nw Loop 1604, San Antonio, TX 78248 | 2010-08-12 |
| 1366772329 | Allison M Luellen | Nurse Anesthetist, Certified Registered | 15 Marella Dr, San Antonio, TX 78248 | 2010-01-13 |
| 1740510718 | Gloria Sr John | Home Health | 2330 Winning Colors, San Antonio, TX 78248 | 2010-01-13 |
| 1831338318 | Julie Ann Cripps | Speech-Language Pathologist | 14215 Cavalcade, San Antonio, TX 78248 | 2009-02-06 |
| 1669647806 | Alhashmin A Murji | Family Medicine | 16675 Huebner Rd Ste 210, San Antonio, TX 78248 | 2008-04-29 |
| Find all providers in zip 78248 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011047 | Concentric Counseling and Coaching, Pllc | Counselor | 7113 San Pedro Ave # 493, San Antonio, TX 78216-6219 | 2020-10-21 |
| 1609473685 | Juliana Guadamuz | Counselor | 5919 Cliff Valley Dr, San Antonio, TX 78250-3921 | 2020-10-03 |
| 1639786635 | Lara Durand Stern | Counselor | 1153 Mesa Blanca, San Antonio, TX 78248-2613 | 2020-09-24 |
| 1326651290 | Olga M Luquis | Counselor | 10471 Tippecanoe, San Antonio, TX 78245-3131 | 2020-08-28 |
| 1447869094 | Sofia Andrea De La Garza | Counselor | 5811 Ben Casey Dr, San Antonio, TX 78240-3418 | 2020-07-29 |
| 1285242131 | Robert Edward Williamson | Counselor | 9939 Fredericksburg Rd Apt 815, San Antonio, TX 78240-4153 | 2020-07-16 |
| 1972121085 | Charles Jones | Counselor | 6018 Upland Vw, San Antonio, TX 78244-1752 | 2020-07-07 |
| 1013535152 | Glynis Fresia | Counselor | 23007 Casey Cyn, San Antonio, TX 78255-1051 | 2020-07-06 |
| 1235753161 | Tiffany Bridgers | Counselor | 6320 Village Arbor, San Antonio, TX 78250-5752 | 2020-06-06 |
| 1972127983 | Diana Sue Rangel-duncan | Counselor | 3234 Morning Crk, San Antonio, TX 78247-3326 | 2020-06-04 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78248 |
Please comment or provide details below to improve the information on ETHSEL LARA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.