Active NPI
Jonathan Thomas De Jesus, MA, LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1346838430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74560
- Practice address
- 7701 Wurzbach Rd Apt 1101
San Antonio, TX 78229-4431 - Phone
- (210) 415-8314
- NPI assigned
- Jan 5, 2021
- Sex
- Male
- 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 | 74560 | TX | Primary |
Addresses
Primary practice location
7701 Wurzbach Rd Apt 1101
San Antonio, TX 78229-4431
Mailing address
7701 Wurzbach Rd Apt 1101
San Antonio, TX 78229-4431
Phone (210) 415-8314
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 |
|---|---|---|---|
| 74560 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1346838430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7701 WURZBACH RD APT 1101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294431",
"telephone_number": "210-415-8314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7701 WURZBACH RD APT 1101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294431",
"telephone_number": "210-415-8314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE JESUS",
"first_name": "JONATHAN",
"middle_name": "THOMAS",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2021-01-05",
"certification_date": "2021-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.