Individual provider Active NPI

Jaime Corona, LPC

  • Professional Counselor
  • River Oaks, TX
National Provider Identifier
1083852354
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63032 Issued in TX
Practice address
4805 Green Oaks Dr
River Oaks, TX 76114-3004
Phone
(817) 624-1222
Fax
(817) 460-0286
NPI assigned
Jan 25, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63032 TX Primary

Addresses

Primary practice location

4805 Green Oaks Dr
River Oaks, TX 76114-3004

Mailing address

PO Box 10117
River Oaks, TX 76114-0117
Phone (817) 624-1222

Other practice location 1

1601 E Lamar Blvd Ste 108
Arlington, TX 76011-4465
Phone (817) 522-1095

Other identifiers 4

IdentifierTypeStateIssuer
202545405MedicaidTX
202545401MedicaidTX
202545403MedicaidTX
202545402MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240118001650 TX Practitioner - Mental Health Counselor 2062660772 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63032TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1601 E Lamar Blvd
Ste 108
Arlington, TX 76011
Phone (817) 522-1095

4805 Green Oaks Dr
River Oaks, TX 76114
Phone (817) 624-1222

920 Roberts Cut Off Rd
Ste A
River Oaks, TX 76114
Phone (817) 624-1222

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1083852354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10117",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761140117",
            "telephone_number": "817-624-1222",
            "fax_number": "817-460-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 GREEN OAKS DR",
            "city": "RIVER OAKS",
            "state": "TX",
            "postal_code": "761143004",
            "telephone_number": "817-624-1222",
            "fax_number": "817-460-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 E Lamar Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760114465",
            "country_code": "US",
            "telephone_number": "817-522-1095",
            "fax_number": "817-460-0286",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORONA",
        "first_name": "JAIME",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-25",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545405",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545403",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202545402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Oaks, TX

Sources for this page

Verify at the official NPI Registry.