Micah Jaksik, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

71340 Issued in TX

Practice address

3016 Polar LN Ste 407
Cedar Park, TX 78613-3050

Phone

(512) 309-1718

NPI assigned

Jun 3, 2016

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Cedar Park Mindfulness Counseling

  • Adult Mental Health Clinic/Center
  • Cedar Park, TX
  • NPI 1659911154
  NPD Authorized official

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1043669757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133050",
            "telephone_number": "512-309-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3016 POLAR LN STE 407",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133050",
            "telephone_number": "512-309-1718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 N Georgetown St",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786643289",
            "country_code": "US",
            "telephone_number": "512-255-1720",
            "fax_number": "512-597-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAKSIK",
        "first_name": "MICAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-03",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Jordain Jackson, LPC-A
• Steven Anthony Jaeckle, PA-C
• Mohammad Jahadi, D.C.
• Pooneh Jahadi, PH.D.
• Kristen Jahns, FNP
• Adrian James
• Joel James
• Tessa James, RD, LD
• Allyson Jameson, FNP
• Janae Kim Psychotherapy

• Professional Counselor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.