Individual provider Active NPI

Arely Jasso, LPC

  • Professional Counselor
  • Lufkin, TX
National Provider Identifier
1093527640
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89376 Issued in TX
Practice address
1522 W Frank Ave
Lufkin, TX 75904-3334
Phone
(936) 639-2384
NPI assigned
Jan 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 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 89376 TX Primary

Addresses

Primary practice location

1522 W Frank Ave
Lufkin, TX 75904-3334

Mailing address

1522 W Frank Ave
Lufkin, TX 75904-3334
Phone (936) 639-2384

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
I20250129003161 TX Practitioner - Mental Health Counselor 7517496961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Burke CenterGroup PAC ID 1254312077, 28 clinicians

Practice addresses (Care Compare)

2001 S Medford Dr
Lufkin, TX 75901-6260
Phone (936) 633-5672

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89376TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Burke Center CurrentSince Jan 3, 2025 Accepting new patients
Burke Center PastSince Jan 3, 2025 Accepting new patients

Locations

2001 S Medford Dr
Lufkin, TX 75901
Phone (936) 633-5672

Organizations & group practices 2

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": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1093527640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043334",
            "telephone_number": "936-639-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043334",
            "telephone_number": "936-639-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSO",
        "first_name": "ARELY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.