Active NPI
Mary Jane Bajaj, MA, LPC, LSOTP, BHSV
- Professional Counselor
- San Angelo, TX
National Provider Identifier
1285334011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19916
- Practice address
- 1207 S Abe St Ste C
San Angelo, TX 76903-7266 - Phone
- (325) 718-4956
- NPI assigned
- Mar 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 19916 | TX | Primary |
Addresses
Primary practice location
1207 S Abe St Ste C
San Angelo, TX 76903-7266
Mailing address
1207 S Abe St Ste C
San Angelo, TX 76903-7266
Phone (325) 718-4956
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19916 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1285334011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 S ABE ST STE C",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769037266",
"telephone_number": "325-718-4956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1207 S ABE ST STE C",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769037266",
"telephone_number": "325-718-4956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAJAJ",
"first_name": "MARY",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "MA, LPC, LSOTP, BHSV",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-09",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.