Acacia Deal Jaimez, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75441 Issued in TX

Practice address

11901 Toepperwein Rd Ste 901
Live Oak, TX 78233-3158

Phone

(210) 875-4445

NPI assigned

Apr 5, 2018

Last updated

Jul 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acacia Counseling

  • Professional Counselor
  • Universal City, TX
  • NPI 1215575360
  NPD

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1346746542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GRANADA DR",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483134",
            "telephone_number": "210-875-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 TOEPPERWEIN RD STE 901",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333158",
            "telephone_number": "210-875-4445"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4242 Woodcock Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281325",
            "country_code": "US",
            "telephone_number": "210-481-8673",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIMEZ",
        "first_name": "ACACIA",
        "middle_name": "DEAL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-05",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Moss Foundation (Skinny Gene Project)
• Layan Jaber, PA-C
• Zain Jaber, PHARMD
• Jaynon Jackson
• Kinde Lynn Jackson
• Maya Jasser
• Hannah Rae Jeanise, LMSW
• Kaelyn Jeffreys
• Patricia G. Jeffreys, M.D.
• Susan Lee Jennings

• Professional Counselor in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.