Active NPI
Jacob Isaac Vasquez, LCDC LPC-A
- Mental Health Counselor
- Laredo, TX
National Provider Identifier
1235016155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 90095
- Practice address
- 5219 McPherson Rd
Laredo, TX 78041-7306 - Phone
- (956) 334-9366
- NPI assigned
- Aug 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 90095 | TX | Primary |
Addresses
Primary practice location
5219 McPherson Rd
Laredo, TX 78041-7306
Mailing address
5118 Coos Bay
Laredo, TX 78041-1963
Phone (956) 334-9366
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
| License | State | Type | Specialty |
|---|---|---|---|
| 90095 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1235016155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5118 COOS BAY",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411963",
"telephone_number": "956-334-9366",
"fax_number": "956-334-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5219 MCPHERSON RD",
"city": "LAREDO",
"state": "TX",
"postal_code": "780417306",
"telephone_number": "956-334-9366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "JACOB",
"middle_name": "ISAAC",
"credential": "LCDC LPC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-20",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "90095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.