Individual provider Active NPI

Jamie Lynn Salas, LPC

  • Professional Counselor
  • Victoria, TX
National Provider Identifier
1184331449
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
82163 Issued in TX
Practice address
775 Guadalupe Rd Unit 17
Victoria, TX 77905-2088
Phone
(361) 237-9223
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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 82163 TX Primary

Addresses

Primary practice location

775 Guadalupe Rd Unit 17
Victoria, TX 77905-2088

Mailing address

775 Guadalupe Rd Unit 17
Victoria, TX 77905-2088
Phone (361) 237-9223

Other practice location 1

2907 Miori Ln
Victoria, TX 77901
Phone (361) 648-2659

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
I20240801002697 TX Practitioner - Mental Health Counselor 7113464603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hazel Hawkins Memorial HospitalGroup PAC ID 9133038326, shared by 8 NPIs, 52 clinicians

Practice addresses (Care Compare)

911 Sunset Dr
Hollister, CA 95023-5606
Phone 83163726262601

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jun 26, 2024 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1184331449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 GUADALUPE RD UNIT 17",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779052088",
            "telephone_number": "361-237-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 GUADALUPE RD UNIT 17",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779052088",
            "telephone_number": "361-237-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2907 Miori Ln",
            "address_purpose": "LOCATION",
            "city": "Victoria",
            "state": "TX",
            "postal_code": "77901",
            "country_code": "US",
            "telephone_number": "361-648-2659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALAS",
        "first_name": "JAMIE",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "82163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.