MEDICARE: JOURNEY TO NEXUS COUNSELING AND PLAY THERAPY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1790641611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOURNEY TO NEXUS COUNSELING AND PLAY THERAPY, PLLC

Provider Business Mailing Address
First Line	:	1600 NE LOOP 410 STE 217
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1633
Country	:	US
Telephone Number	:	210-286-9729
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 NE LOOP 410 STE 217
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-1633
Country	:	US
Telephone Number	:	210-286-9729
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PROFESSIONAL COUNSELOR
Name	:	ARMANDO BENJAMIN CARDENAS III
Credential	:	MA, LPC
Telephone Number	:	210-286-9729

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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