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

Mr. Jack Bannin, LMFT, LPC

Individual provider Marriage & Family Therapist · NPI 1902915861

Mr. Jack Bannin, LMFT, LPC is a Marriage and Family Therapist in San Antonio, Texas. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
25
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
LMFT — Licensed Marriage and Family Therapist
A therapist licensed to treat couples and families.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

11230 W Ave Ste 1203
San Antonio, TX 78213-1359
Phone: (210) 320-2999
Fax: (210) 320-4716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 5072 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence 18744 (TX)

Record details

NPI number1902915861
Entity typeIndividual (Type 1)
GenderMale
Credentials LMFT , LPC
Sole proprietorYes
NPI enumeratedAugust 30, 2006
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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