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JUAN LARA
NPI 1245880111
Counselor - Professional in San Antonio, TX

Active since September 12, 2019PECOS EnrolledAccepts Medicare Assignment
601 N FRIO ST BLDG 1, SAN ANTONIO, TX 78207(210) 261-1300 Get Directions Write a Review

NPPES record last updated: February 28, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 28, 2023, Sep 12, 2019 (2 updates tracked since 2019).

About Juan Lara NPPES

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

JUAN LARA (NPI 1245880111) is an individual professional provider in San Antonio, Texas, licensed in Texas (74387) and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS and is a graduate of Texas A & M University System, Hsc, College Of Medicine (2013).

NPPES Registry Identity

NPI1245880111
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJUAN LARA
Location Address601 N FRIO ST BLDG 1San Antonio, TX 78207-3011
Mailing Address6800 Park Ten Blvd Ste 200sSan Antonio, TX 78213-4293 · (210) 261-1060 · Fax (210) 261-1821
Phone(210) 261-1300
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 2013
Enumeration DateSeptember 12, 2019
Last NPPES UpdateFebruary 28, 20232 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1245880111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 74387
601 N FRIO ST BLDG 1, San Antonio, TX 78207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Juan Lara is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769830454
PECOS Enrollment IDI20231220000239
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Juan Lara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bexar County Board Of Trustees For Mental Health Mental Retardation
4.6 mi
Family Medicine
6800 PARK TEN BLVD, SUITE 200-S
San Antonio, TX 78213
  • Reassigned Medicare billing, Texas enrollment
  • 210 clinicians in this Medicare group
NPI 1679948392 (210) 261-1000
Camino Real Community Mhmr Center
23 mi
Case Management
19965 FM 3175
Lytle, TX 78052
  • Reassigned Medicare billing, Texas enrollment
  • 152 clinicians in this Medicare group
NPI 1154411262 (210) 357-0300
Sabine Valley Regional Mhmr Center
309 mi
Mental Health (Including Community Mental Health Center)
107 WOODBINE PL
Longview, TX 75601
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1639232002 (903) 758-2471

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

ECHO J WALBY PA-C
Physician Assistant
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 261-1060
KARI LANAE WHATLEY MD
Psychiatry & Neurology (Psychiatry)
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 246-1300
MS. VIRGINIA CHRISTINA LUCIO FNP
Nurse Practitioner (Family)
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 246-1300
DANIELLE MONTOYA LCSW
Social Worker (Clinical)
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 261-2427
ANGELITA GONZALES RN
Registered Nurse
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 779-7400
GLORIA FULGENCIO
Licensed Vocational Nurse
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 261-3750
BRENDA ROWSHAN LVN
Licensed Vocational Nurse
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 261-3750
ROXANNE HURON LPC
Counselor (Professional)
601 N FRIO ST BLDG 1
SAN ANTONIO, TX 78207
Bexar County (210) 246-1300

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 Juan Lara's NPI number?

The NPI number for Juan Lara is 1245880111. It was assigned to this individual provider in the NPPES registry on September 12, 2019.

Where is Juan Lara located?

Juan Lara practices at 601 N Frio St Bldg 1, San Antonio, TX 78207. The listed phone number is (210) 261-1300.

What is Juan Lara's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Juan Lara enrolled in Medicare?

Yes. Juan Lara is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Juan Lara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Lara reassigns Medicare benefits to 3 organizations: Bexar County Board Of Trustees For Mental Health Mental Retardation (San Antonio, TX), Camino Real Community Mhmr Center (Lytle, TX) and Sabine Valley Regional Mhmr Center (Longview, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Lara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Lara accept?

Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First, Harbor Health and Imperial Insurance Companies, Inc. and 1 other insurer list Juan Lara as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan Lara was last updated on February 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.