Individual provider Active NPI

Jonathan Delgado, LPC INTERN

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1366955460
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
75521 Issued in TX
Practice address
20079 Stone Oak Pkwy Ste 1275
San Antonio, TX 78258-6983
Phone
(210) 481-3727
NPI assigned
Nov 10, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

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 75521 TX Primary

Addresses

Primary practice location

20079 Stone Oak Pkwy Ste 1275
San Antonio, TX 78258-6983

Mailing address

20079 Stone Oak Pkwy Ste 1275
San Antonio, TX 78258-6983
Phone (210) 481-3723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731001850 TX Practitioner - Mental Health Counselor 1052829215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75521TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anna Leason LCSW and Associates, PLLC CurrentSince Jun 1, 2025 Accepting new patients
Performance Associates of South Texas Mental Health PastSince Sep 1, 2017 Accepting new patients

Locations

2203 Timberloch Pl
Ste 128
The Woodlands, TX 77380
Phone (346) 297-0596

Organizations & group practices 2

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": "1510272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1366955460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586983",
            "telephone_number": "210-481-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20079 STONE OAK PKWY STE 1275",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782586983",
            "telephone_number": "210-481-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "JONATHAN",
        "credential": "LPC INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "75521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.