IMELDA RAMIREZ REVERON MA, CLINICIAN
NPI 1144893694
Counselor - Mental Health in San Antonio, TX

Q: What is Imelda Reveron's NPI number?

The NPI number for Imelda Reveron is 1144893694. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Q: What is Imelda Reveron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Imelda Reveron was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 22, 2021

4335 W PIEDRAS DR STE 103, SAN ANTONIO, TX 78228(210) 600-4117(210) 600-3849 Get Directions Write a Review

NPPES record last updated: July 22, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Imelda Ramirez Reveron Ma, Clinician NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMELDA RAMIREZ REVERON MA, CLINICIAN (NPI 1144893694) is an individual mental health provider in San Antonio, Texas and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1144893694

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameIMELDA RAMIREZ REVERONCredential: MA, CLINICIAN

Location Address4335 W PIEDRAS DR STE 103San Antonio, TX 78228-1215

Mailing Address21916 Park View DrGarden Ridge, TX 78266-2749 · (210) 844-9985 · Fax (210) 600-3849

Phone(210) 600-4117

Fax(210) 600-3849

Sole ProprietorYes

Enumeration DateJuly 22, 2021

NPPES CertifiedJuly 22, 2021

✔ NPI 1144893694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

4335 W PIEDRAS DR STE 103, San Antonio, TX 78228

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABRIDGED THERAPY PLLC

Counselor (Professional)

4335 W PIEDRAS DR STE 103
SAN ANTONIO, TX 78228

Bexar County (903) 283-7631

LIFE FULFILLMENT AND WELLNESS LLC

Counselor (Mental Health)

4335 W PIEDRAS DR STE 103
SAN ANTONIO, TX 78228

Bexar County (210) 600-4117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imelda Reveron's NPI number?

The NPI number for Imelda Reveron is 1144893694. It was assigned to this individual provider in the NPPES registry on July 22, 2021.

Where is Imelda Reveron located?

Imelda Reveron practices at 4335 W Piedras Dr Ste 103, San Antonio, TX 78228. The listed phone number is (210) 600-4117.

What is Imelda Reveron's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Imelda Reveron was last updated on July 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.