MR. JOSEPH ROBERT EATHERLY LPC
NPI 1720303134
Counselor - Professional in San Antonio, TX

Active since March 30, 2010PECOS EnrolledAccepts Medicare Assignment
540 OAK CENTRE DR STE 205, SAN ANTONIO, TX 78258(844) 824-8775 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2025, Aug 16, 2017 (2 updates tracked since 2017).

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

NPI1720303134
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JOSEPH ROBERT EATHERLYCredential: LPC
Location Address540 OAK CENTRE DR STE 205San Antonio, TX 78258-4767
Mailing Address49500 Cr E 1600Stratford, OK 74872 · (580) 320-5633
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 30, 2010
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
NPI 1720303134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in TX · 98464 Licensed in OK · 5004
Also ListedCounselorTaxonomy 101Y00000X
540 OAK CENTRE DR STE 205, San Antonio, TX 78258

Secondary Practice Location 1

Location 1108 W Main StTishomingo, OK 73460-1723 · Phone (580) 371-3019 · Fax (580) 371-0138

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID9931624004
PECOS Enrollment IDI20250603002228
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.

Other Providers at the Same Location NPPES 13

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

Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Social Worker (Clinical)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Psychiatry & Neurology (Psychiatry)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Pediatrics
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Social Worker (Clinical)
540 OAK CENTRE DR STE 205
SAN ANTONIO, TX 78258
Counselor (Professional)
540 OAK CENTRE DR STE 205
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.

What insurance does Joseph Eatherly accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Mending Health and UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.