Jessica Rose Guajardo, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

89245 Issued in TX

Practice address

7719 Wood Hollow Dr Ste 201
Austin, TX 78731-1634

Phone

(512) 610-7719

NPI assigned

Aug 22, 2022

Last updated

Sep 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emh Central NW Austin Clinic PLLC

  dba Ellie Mental Health

  • Professional Counselor
  • Austin, TX
  • NPI 1932834371
  Medicare reassignment NPD
• Family Care Center LLC,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1427786482
  Medicare reassignment NPD
• Family Care Center, LLC

  • Psychiatry Physician
  • Mesa, AZ
  • NPI 1598535288

  Mental Health

  NPD
• The Counseling Spot PLLC

  • Professional Counselor
  • Dallas, TX
  • NPI 1699338616

  Mental Health

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1023736329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7719 WOOD HOLLOW DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311634",
            "telephone_number": "512-610-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7719 WOOD HOLLOW DR STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787311634",
            "telephone_number": "512-610-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "JESSICA",
        "middle_name": "ROSE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josephine Ella Guagliardo, DDS
• Anita Guajardo, LCSW
• April M Guajardo, LCSW, LCDC
• Araceli Guajardo
• Britney Guajardo
• Kimberly A Guajardo, PA-C
• Ryan Guajardo, LPC, LMFT-ASSOCIATE
• Sylvia Lee Guan, PHARMD
• Guardian Ride Services GRS LLC
• Deborah Guariguata, LCSW-ACP

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.