Individual provider Active NPI

Jessica Parker

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1124630231
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
83869 Issued in TX
Practice address
2025 Guadalupe St Ste 260
Austin, TX 78705-5642
Phone
(312) 578-9990
NPI assigned
Aug 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 83869 TX Primary

Addresses

Primary practice location

2025 Guadalupe St Ste 260
Austin, TX 78705-5642

Mailing address

300 W Adams St Ste 514
Chicago, IL 60606-5108

Other practice location 1

2400 Mid Ln # 210
Houston, TX 77027-4468
Phone (281) 837-6463

Other practice location 2

1300 Rollingbrook Dr Ste 508
Baytown, TX 77521-3863
Phone (281) 837-6463

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
I20240226002243 TX Practitioner - Mental Health Counselor 8022453471 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vcounselors PLLC CurrentSince Jan 13, 2024 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jul 9, 2024 Accepting new patients
Mohamed S Ahmed MD PA PastSince Aug 1, 2020 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

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.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1124630231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W ADAMS ST STE 514",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606065108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 GUADALUPE ST STE 260",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787055642",
            "telephone_number": "312-578-9990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Mid Ln # 210",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770274468",
            "country_code": "US",
            "telephone_number": "281-837-6463",
            "fax_number": "281-837-0600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Rollingbrook Dr Ste 508",
            "address_purpose": "LOCATION",
            "city": "Baytown",
            "state": "TX",
            "postal_code": "775213863",
            "country_code": "US",
            "telephone_number": "281-837-6463",
            "fax_number": "281-837-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARKER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-19",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "83869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.