MR. JOSEPH ROBERT EATHERLY LPC
NPI 1720303134
Counselor - Professional in San Antonio, TX
About Mr. Joseph Robert Eatherly Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOSEPH ROBERT EATHERLY LPC (NPI 1720303134) is an individual professional provider in San Antonio, Texas, licensed in Texas (98464) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tishomingo, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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
Mr. Joseph Robert Eatherly Lpc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Joseph Eatherly reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Friendswood, TX 77546
- Reassigned Medicare billing, Texas enrollment
- 494 clinicians in this Medicare group
Oklahoma City, OK 73109
- Reassigned Medicare billing, Oklahoma enrollment
- Medicare enrollment name: Mosiac Centre
- 11 clinicians in this Medicare group
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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78258
SAN ANTONIO, TX 78258
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 Joseph Eatherly's NPI number?
The NPI number for Joseph Eatherly is 1720303134. It was assigned to this individual provider in the NPPES registry on March 30, 2010.
Where is Joseph Eatherly located?
Joseph Eatherly practices at 540 Oak Centre Dr Ste 205, San Antonio, TX 78258. The listed phone number is (844) 824-8775.
What is Joseph Eatherly's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Joseph Eatherly enrolled in Medicare?
Yes. Joseph Eatherly 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 Joseph Eatherly's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Eatherly reassigns Medicare benefits to 2 organizations: Progressive Behavioral Health, PLLC (Friendswood, TX) and Mosaic Medbill LLC (Oklahoma City, OK). 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 Joseph Eatherly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Joseph Eatherly accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Joseph Eatherly 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 Joseph Eatherly was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Mr. Joseph Robert Eatherly, LPC · NPI 1720303134
Professional provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since March 30, 2010.
## Identity
- **NPI:** 1720303134 (Entity type: Individual)
- **Enumerated:** March 30, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 98464 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 540 OAK CENTRE DR STE 205, San Antonio, TX 78258-4767
- **Phone:** (844) 824-8775
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Progressive Behavioral Health, PLLC (NPI 1659567238, Friendswood, TX); Mosaic Medbill LLC (NPI 1255623930, Oklahoma City, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** May 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720303134) · Data from the CMS NPPES public registry.