ELISA MEDELLIN (NPI# 1669833075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669833075 |
| Entity Type | Individual |
| Full Name | ELISA MEDELLIN |
| Credential | LPC |
| Practice Address |
7526 Louis Pasteur Dr San Antonio TX 78229-4001 |
| Mailing Address |
7703 Floyd Curl Dr San Antonio TX 78229-3901 |
| Practice Telephone | 2104506440 |
| Practice Fax Number | 2104502104 |
| Mailing Telephone | 2104506440 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
70844 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN | 354918002 | 01 |
| TX | 354918001 | 05 |
| Street Address |
7526 LOUIS PASTEUR DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78229-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831132273 | Cervando Martinez Jr. | Psychiatry & Neurology | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2006-06-14 |
| 1487271391 | Kimberly Yvonne Schmit | Social Worker | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2020-06-26 |
| 1366099160 | Joseph R Luedecke | Social Worker | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2019-08-26 |
| 1609346915 | Courtney A Mccarley | Counselor | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2018-11-29 |
| 1346715273 | Anna Isabel Martinez | Nurse Practitioner | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2018-10-08 |
| 1578052007 | Heather N Busanet | Counselor | 7526 Louis Pasteur Dr, San Antonio, TX 78229 | 2018-05-10 |
| 1841703899 | Kimberly S Goodwin | Social Worker | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2017-11-13 |
| 1003272295 | Melissa D Miller | Social Worker | 7526 Louis Pasteur Dr, #318, San Antonio, TX 78229-4001 | 2016-01-05 |
| 1548696420 | Jennifer Papac | Psychiatry & Neurology | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2013-09-23 |
| 1780933325 | Carlos Enrique Velez | Psychiatry & Neurology | 7526 Louis Pasteur Dr, San Antonio, TX 78229-4001 | 2012-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1295355311 | Nicolet Finger | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive, Mc 7798, San Antonio, TX 78229 | 2020-04-18 |
| 1215557400 | Amy Elizabeth Werry | Clinical Neuropsychologist | 7703 Floyd Circle Drive, San Antonio, TX 78229 | 2020-04-17 |
| 1740822972 | Mohammad Safaie Yazdi | Student in an Organized Health Care Education/Training Program | Ut Health Science Center At San Antonio- Agdc, 8210 Floyd Curl Dr., Msc 8103, San Antonio, TX 78229 | 2019-10-09 |
| 1063053072 | Blas Edward Villa | Nurse Practitioner | 7703 Floyd Curl Drive Mc 7885 Pulmonary Diseases & Crit, Medicine, San Antonio, TX 78229 | 2019-10-01 |
| 1124673942 | Integrity Dme Services LLC | Durable Medical Equipment & Medical Supplies | 6323 Sovereign Dr, Suite # 170 Ab, San Antonio, TX 78229 | 2019-08-08 |
| 1730734120 | Marisa Erin Leyden | Speech-Language Pathologist | Joe R. & Teresa Lozano Long Campus, 7703 Floyd Curl Dr., San Antonio, TX 78229 | 2019-08-03 |
| 1285295741 | Alireza Ghezavati | Student in an Organized Health Care Education/Training Program | 7703 Floyd Curl Drive Mc 7750, Department of Pathology and Laboratory Medicine, San Antonio, TX 78229 | 2019-06-25 |
| 1407410285 | Denae Cheyenne Rushing | Student in an Organized Health Care Education/Training Program | 8201 Floyd Curl Drive, San Antonio, TX 78229 | 2019-04-26 |
| 1265993570 | Shehzad Amlani | Student in an Organized Health Care Education/Training Program | Address: 7703 Floyd Curl Dr, San Antonio, TX 78229 | 2019-03-28 |
| Find all providers in zip 78229 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235738311 | Jade Hodges | Counselor | 1402 Brook Run, San Antonio, TX 78232-5133 | 2020-10-20 |
| 1821696063 | Brent Crowson | Counselor | 23602 Enchanted Path, San Antonio, TX 78260-4323 | 2020-10-10 |
| 1730787961 | Alexander W Casserly | Counselor | 3442 Wellsprings Dr, San Antonio, TX 78230-2512 | 2020-10-09 |
| 1578170270 | Magno Solutions LLC | Counselor | 10422 Castello Cyn, San Antonio, TX 78254-4644 | 2020-09-26 |
| 1073120184 | Stacie Dziuk | Counselor | 12139 Bowie Ml, San Antonio, TX 78253-5879 | 2020-09-23 |
| 1508471293 | Sandra Jean Bar-yadin | Counselor | 12000 Network Blvd Ste 300, San Antonio, TX 78249-3344 | 2020-09-10 |
| 1316551039 | Mateo David Ayala, Texas Counseling | Counselor | 9818 Village Briar, San Antonio, TX 78250-5718 | 2020-09-01 |
| 1841801412 | Ijeoma Chinwe Too-chiobi | Counselor | 11467 Huebner Rd, San Antonio, TX 78230-1595 | 2020-08-16 |
| 1851901516 | Kenny Garza | Counselor | 5000 Walzem Rd, San Antonio, TX 78218 | 2020-08-06 |
| 1851900468 | Vanessa Montemayor Perez | Counselor | 330 Pennystone Ave, San Antonio, TX 78223-1825 | 2020-07-29 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78229 |
Please comment or provide details below to improve the information on ELISA MEDELLIN.
| 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.