Individual provider Active NPI

Jessica C Gelgand-Valencia, LMFT

  • Mental Health Counselor
  • Austin, TX
National Provider Identifier
1366787160
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
202716 Issued in TX
Practice address
13706 Research Blvd Ste 114
Austin, TX 78750-1838
Phone
(575) 640-3112
NPI assigned
Dec 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 202716 TX Primary

Addresses

Primary practice location

13706 Research Blvd Ste 114
Austin, TX 78750-1838

Mailing address

13706 Research Blvd Ste 114
Austin, TX 78750-1838
Phone (575) 640-3112

Other identifiers 3

IdentifierTypeStateIssuer
74481MedicaidNM
85-0204142OtherNMMEDICARE
47043MedicaidNM

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

State licenses

LicenseStateTypeSpecialty
202716TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Counseling & Therapy Solutions, PLLC Mental Health Current Accepting new patients

Locations

13706 Research Blvd
Ste 114
Austin, TX 78750
Phone (512) 659-8553

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1366787160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13706 RESEARCH BLVD STE 114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501838",
            "telephone_number": "575-640-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13706 RESEARCH BLVD STE 114",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501838",
            "telephone_number": "575-640-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GELGAND-VALENCIA",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-05",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "202716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74481",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "85-0204142",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47043",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.