Jennifer Lostracco, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

73104 Issued in TX

Practice address

2214 N Pecan St
Nacogdoches, TX 75965-3502

Phone

(936) 560-6855

NPI assigned

Sep 30, 2016

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

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pathways Forensic and Mental Health Services, PLLCGroup PAC ID 1557719960, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Pathways Forensic & Mental Health Services, PLLC

  • Mental Health Counselor
  • Lufkin, TX
  • NPI 1063894087

  TX

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1104375252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N PECAN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759653502",
            "telephone_number": "936-553-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N PECAN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759653502",
            "telephone_number": "936-560-6855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSTRACCO",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "73104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Living Forest Country Emergency Physicians PLLC
• Livingwell Medessentials
• Lone Star Emergency Services of East Texas PLLC
• Lone Star Integrated Acute Care of East Texas PLLC
• Michael Scott Long, D.O.
• Rachel Minton Lout, LPC
• Jonathan Thomas Lowery, OD
• Melisa Annette Lummus, CCC/SLP
• Luquette Chiropractic PC
• David Allen Luquette, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.

Verify at the official NPI Registry.