Individual provider Active NPI

Jessica McMahon

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1275999138
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
90973 Issued in TX
Practice address
1206 W 43Rd St
Austin, TX 78756-3302
Phone
(512) 522-2810
NPI assigned
Jan 7, 2016
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 90973 TX Primary
Physical Therapy Assistant 225200000X 1439 NE

Addresses

Primary practice location

1206 W 43Rd St
Austin, TX 78756-3302

Mailing address

1100 N 264TH St
Waterloo, NE 68069-6204

Other practice location 1

1205 W 43rd St
Austin, TX 78756-3301
Phone (512) 522-2810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 20, 2026 through May 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
90973TXMDProfessional Counselor
1439NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Prachar Counseling, PLLC PastSince Feb 1, 2024 Accepting new patients

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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1275999138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N 264TH ST",
            "city": "WATERLOO",
            "state": "NE",
            "postal_code": "680696204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 W 43RD ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563302",
            "telephone_number": "512-522-2810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 W 43rd St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787563301",
            "country_code": "US",
            "telephone_number": "512-522-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMAHON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "90973",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1439",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.