Individual provider Active NPI

Jessica Marie Limon, MA, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1275150922
Registry record updated Jun 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80619 Issued in TX
Practice address
12915 Jones Maltsberger Rd Ste 430
San Antonio, TX 78247-4255
Phone
(210) 463-5059
NPI assigned
Jun 29, 2020
Last updated
Jun 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 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 80619 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 430
San Antonio, TX 78247-4255

Mailing address

12915 Jones Maltsberger Rd Ste 430
San Antonio, TX 78247-4255
Phone (210) 463-5059

Other practice location 1

121 Old San Antonio Rd
Boerne, TX 78006-3415
Phone (830) 816-2425 ext. 2444

Other names 1

  • Jessica Marie Perez Former name

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
I20240418003214 TX Practitioner - Mental Health Counselor 7911346259 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
80619TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lunera Counseling and Consulting, PLLC Professional Current Accepting new patients
Coastal Bend Wellness Foundation Inc CurrentSince Feb 25, 2024 Accepting new patients
Coastal Bend Wellness Foundation Inc. CurrentSince Feb 25, 2024 Accepting new patients
Roy Maas' Youth Alternatives, Inc. Professional PastSince Jul 1, 2020 Accepting new patients

Locations

14205 N Mo Pac Expy
Ste 570
Austin, TX 78728
Phone (737) 291-7570

2882 Holly Rd
Corpus Christi, TX 78415
Phone (361) 814-2001

5633 S Staples St
Ste 700
Corpus Christi, TX 78411
Phone (361) 814-2001

Organizations & group practices 4

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655596800000",
    "number": "1275150922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "210-463-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "210-463-5059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 Old San Antonio Rd",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780063415",
            "country_code": "US",
            "telephone_number": "830-816-2425 x2444",
            "fax_number": "830-249-8714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIMON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2022-06-19",
        "certification_date": "2022-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "PEREZ",
            "middle_name": "MARIE",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.