Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marissa Mata, LPC

Individual provider Mental Health Counselor · NPI 1477380368

Marissa Mata, LPC is a Mental Health Counselor in San Antonio, Texas. Qualified in 2021, 5 years ago. Practices with University of Texas Health Science Center at San Antonio, a 1,295-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2024
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone: (210) 450-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4318 Woodcock Dr Ste 120, San Antonio, TX 78228-1315 — (210) 571-4471

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 88864 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 88864 (TX)

Record details

NPI number1477380368
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedSeptember 16, 2024
Last updated in NPPESNovember 15, 2024
Certification dateNovember 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Texas Health Science Center At San Antonio — 1295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Antonio