Individual provider Active NPI

Jonathan Joe Caballero, LPC

  • Professional Counselor
  • McAllen, TX
National Provider Identifier
1225539638
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74286 Issued in TX
Practice address
5415 N McColl Rd Ste 103
McAllen, TX 78504-4664
Phone
(956) 225-3768
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 74286 TX Primary
Mental Health Counselor 101YM0800X 74286 TX

Addresses

Primary practice location

5415 N McColl Rd Ste 103
McAllen, TX 78504-4664

Mailing address

1007 Ash Dr
Weslaco, TX 78596-6717
Phone (956) 225-3768

Other practice location 1

522 S Texas Blvd Ste 110
Weslaco, TX 78596-6287
Phone (956) 225-3768

Other identifiers 1

IdentifierTypeStateIssuer
385753402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
74286TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1225539638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 ASH DR",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966717",
            "telephone_number": "956-225-3768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 N MCCOLL RD STE 103",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785044664",
            "telephone_number": "956-225-3768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "522 S Texas Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966287",
            "country_code": "US",
            "telephone_number": "956-225-3768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "JONATHAN",
        "middle_name": "JOE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74286",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74286",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "385753402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.