CLYDE A KEEBAUGH (NPI# 1790232916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790232916 |
Entity Type | Individual |
Full Name | CLYDE A KEEBAUGH |
Credential | LCDC |
Practice Address |
3031 W Ih 10 San Antonio TX 78201-5159 |
Practice Telephone | 2102611000 |
Practice Fax Number | 2107318678 |
Mailing Telephone | 2102611000 |
Mailing Fax Number | 2107318678 |
Enumeration Date | 2016-09-06 |
Last Update Date | 2016-09-06 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
7422 | TX | Behavioral Health & Social Service Providers |
Street Address |
3031 W IH 10 |
City | SAN ANTONIO |
State | TX |
Zip Code | 78201-5159 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003810680 | Echo J Walby | Physician Assistant | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2005-06-10 |
1235679051 | Cory Lovejoy | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2017-02-27 |
1376081430 | Evan Robert Smith | Social Worker | 3031 W Ih 10, Attention : Credentialing, San Antonio, TX 78201-5159 | 2017-02-08 |
1992242234 | Priscilla Sanchez | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2017-01-25 |
1285179259 | Sharon Ortiz | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2016-12-30 |
1538601075 | Alebachew Kindie | Registered Nurse | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2016-11-15 |
1477001279 | Regina A Mirando | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2016-09-21 |
1538614847 | Barbara Curtis | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2016-08-17 |
1285189498 | Michael Guerra | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2016-08-17 |
1598117038 | Justin Gaston Ingram | Counselor | 3031 W Ih 10, San Antonio, TX 78201-5159 | 2016-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043864648 | Woodlawn Lake Dental Partners Pllc | Dentist | 1707 Williams, San Antonio, TX 78201 | 2019-07-31 |
1912559840 | Tara Devi Nath | Dentist | 1770 Williams, San Antonio, TX 78201 | 2019-07-11 |
1205329042 | Louis A Gonzalez | Registered Nurse | 2362 W Gramercy Pl, San Antonio, TX 78201 | 2018-06-06 |
1194212860 | Zarzamora Healthcare LLC | Pharmacy | 6800 W Ih 10 # 200a, San Antonio, TX 78201 | 2018-04-18 |
1891211926 | Jessica Ann Salazar | Specialist/Technologist | 511 Crestview Dr, San Antonio, TX 78201 | 2017-08-21 |
1093262172 | Access Dental of Fredericksburg Pa | Dentist | 4315 Fredericksburg Balcones Height, 100a, San Antonio, TX 78201 | 2016-09-06 |
1144664962 | Raymond Evan Skunda | Orthopaedic Surgery | 6800 W Ih 10 Ste 250, San Antonio, TX 78201 | 2013-04-23 |
1114289477 | Shaun D Perryman | Dentist | 4522 Fredericksbug Rd., Ste A28, San Antonio, TX 78201 | 2012-06-13 |
1871872093 | Jose Miguel Urencio Marcue | Surgery | 6800 W Ih 10 Ste 200, San Antonio, TX 78201 | 2011-08-04 |
1962719658 | Julio C Mata | Specialist/Technologist, Other | 426 Concord Pl, San Antonio, TX 78201 | 2010-09-02 |
Find all providers in zip 78201 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346849148 | Priscilla Rosas | Counselor | 8431 Chivalry St, San Antonio, TX 78254 | 2020-10-22 |
1861007452 | David Cortez I | Counselor | 437 Mccarty Rd, San Antonio, TX 78216-4445 | 2020-09-10 |
1174136238 | Christine E Myers | Counselor | 7915 Avellano, San Antonio, TX 78250-5151 | 2020-08-28 |
1013528413 | Jaime Valdes | Counselor | 307 One Oak Dr, San Antonio, TX 78228-1530 | 2020-08-11 |
1114548161 | Ben Ligon | Counselor | 3 Inwood Oaks, San Antonio, TX 78248-1624 | 2020-04-30 |
1528688165 | Tyrone Samuel Charles Jr. | Counselor | 5312 Cilantro Pl, San Antonio, TX 78238-2346 | 2020-04-23 |
1730727793 | Stephanie Lynn Pirtz | Counselor | 455 Solar Dr, San Antonio, TX 78227-3838 | 2019-12-20 |
1750928339 | Catherine Rose Rodriguez | Counselor | 571 Spencer Ln Ste 101, San Antonio, TX 78201-2030 | 2019-12-03 |
1235775206 | Liddia George | Counselor | 419 E Magnolia Ave, San Antonio, TX 78212-3012 | 2019-11-25 |
1679123335 | Jordan Nicole Cienski | Counselor | 814 Camden St, San Antonio, TX 78215-1445 | 2019-09-16 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78201 |
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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.