NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Life Fulfillment and Wellness LLC

Mental Health Counselor in San Antonio, TX · enumerated 2021 · authorized official Imelda Reveron, Ceo/Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1619540077

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Life Fulfillment and Wellness LLC
Practice address 4335 W Piedras Dr Ste 103, San Antonio, TX, 78228
Phone (210) 600-4117
Fax (210) 600-3849
Enumeration date Jul 22, 2021
Last updated in NPPES Jul 22, 2021

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Imelda Reveron
Title Ceo/Administrator
Phone (210) 600-4117

Other identifiers

Identifier Type State Issuer
1144893694 Medicaid TX -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-07-22. Verify at npiregistry.cms.hhs.gov.
Where is Life Fulfillment and Wellness LLC located?
The practice location on file with NPPES is in San Antonio, TX.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-22.