| Mr Jack Bannin, LMFT, LPC | |
|
11230 West Ave Ste 1203, San Antonio, TX 78213-1359 | |
| (210) 320-2999 | |
| (210) 320-4716 |
| Full Name | Mr Jack Bannin |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 25 Years |
| Location | 11230 West Ave Ste 1203, San Antonio, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902915861 | NPI | - | NPPES |
| 163782902 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 18744 (Texas) | Secondary |
| 106H00000X | Marriage & Family Therapist | 5072 (Texas) | Primary |
| Entity Name | Family Care Center LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427786482 PECOS PAC ID: 5991064420 Enrollment ID: O20230606000587 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Bannin, LMFT, LPC 15403 Airole Way, San Antonio, TX 78232-4013 Ph: (210) 825-9969 | Mr Jack Bannin, LMFT, LPC 11230 West Ave Ste 1203, San Antonio, TX 78213-1359 Ph: (210) 320-2999 |
Katie Keith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21015 Market Rdg, San Antonio, TX 78258 Phone: 210-496-0100 |
Mr. Michael Hastings Smith, LMFT - ASSOCIATE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21015 Market Rdg Ste 101, San Antonio, TX 78258 Phone: 210-496-0100 |
Joseph Estess, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 500 N Loop 1604 E Ste 220, San Antonio, TX 78232 Phone: 210-310-8384 Fax: 210-496-0101 |
Dr. Shana Maureen Parsons, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8703 Wurzbach Rd, Suite A-1, San Antonio, TX 78240 Phone: 210-561-1512 Fax: 210-561-1517 |
Dr. C Haselmayer Fayed, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 411 Sw 24th St, San Antonio, TX 78207 Phone: 614-537-1239 |
Leo Scaletta, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23910 W Interstate 10 Apt 5110, San Antonio, TX 78257 Phone: 210-584-0414 |
Mrs. Patricia Carrillo Barnes, MS LPC LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12915 Jones Maltsberger Rd Ste 300, San Antonio, TX 78247 Phone: 210-545-3344 Fax: 210-545-3345 |