Jessica Calderon, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65759 Issued in TX

Practice address

109 Enterprise Pkwy Ste 203
Boerne, TX 78006-8636

Phone

(512) 766-3579

NPI assigned

Mar 18, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arise Counseling and Wellness PLLC.

  • Professional Counselor
  • Boerne, TX
  • NPI 1306211560
  NPD Authorized official

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1326432162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 ENTERPRISE PKWY STE 203",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068636",
            "telephone_number": "512-766-3579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 ENTERPRISE PKWY STE 203",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780068636",
            "telephone_number": "512-766-3579"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31320 Interstate 10 W",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780065027",
            "country_code": "US",
            "telephone_number": "512-766-3579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "138 Old San Antonio Rd Ste 505",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780063492",
            "country_code": "US",
            "telephone_number": "512-766-3579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JESSICA",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-18",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65759",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "344671805",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Carlos Cadena Jr., M.D.
• Lydia Kaler Cain, LPC
• Steven Michael Calamia, FNP-C
• Jared Calaway, LPC
• Jennifer Calder
• Keith Dayrl Caldwell, PA
• Brent J. Callegari, DENTIST
• Alicia Campbell, MCD CCC-SLP
• Rebekah Campbell, PT, DPT
• Kathryn Eck Camplen, WHNP/CNM

• Professional Counselor in Boerne, TX
• Providers in Boerne, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.