Active NPI
Ver Jason Astorga, MS, APCC
- Professional Counselor
- San Diego, CA
National Provider Identifier
1073294369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17983
- Practice address
- 2515 Camino del Rio S Ste 113
San Diego, CA 92108-3714 - Phone
- (619) 376-3123
- NPI assigned
- Jul 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17983 | CA | Primary |
Addresses
Primary practice location
2515 Camino del Rio S Ste 113
San Diego, CA 92108-3714
Mailing address
2515 Camino del Rio S Ste 113
San Diego, CA 92108-3714
Phone (619) 376-3123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
24115 Soaring Sparrow TRL
Katy, TX 77493-4791
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifemark Marriage & Family Therapy Corporation | Past | Accepting new patients | |
| Institute of Modern Recovery | Professional | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
-
- Marriage & Family Therapist
- San Diego, CA
- NPI 1619690401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1073294369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 CAMINO DEL RIO S STE 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083714",
"telephone_number": "619-376-3123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 CAMINO DEL RIO S STE 113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083714",
"telephone_number": "619-376-3123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTORGA",
"first_name": "VER JASON",
"credential": "MS, APCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-28",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "17983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.