Jennifer Escobedo

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

2211 S Interstate 35 Ste 103
Austin, TX 78741-3842

Phone

(512) 766-3627

NPI assigned

Mar 10, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gramercy Specialty Clinic

  • Professional Counselor
  • Austin, TX
  • NPI 1780051623
  NPD (past)
• Gramercy Specialty Clinic PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1922419324
  NPD (past)

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1366027476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2211 S INTERSTATE 35 STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413842",
            "telephone_number": "512-766-3627",
            "fax_number": "512-777-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 S INTERSTATE 35 STE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787413842",
            "telephone_number": "512-766-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBEDO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Escobar
• Tanya Marie Escobar, OTR
• Alejandra Escobedo
• David Eliud Escobedo, RN,BSN
• Eva Escobedo, LPC
• Jonathan Lee Escobedo, MSN, RN, FNP-BC
• Karen Paola Escobedo
• Michael Scott Escobedo, M.D.
• Mark Edward Escott, MD, MPH, FACEP
• Michelle Rene Escue, F.N.P.

• Professional Counselor in Austin, TX
• Providers in Austin, 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, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.