Active NPI
Jerusalem Desion, LPC
- Counselor
- Horizon City, TX
National Provider Identifier
1376106393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 16549
- Practice address
- 113 Camino Cresta PL
Horizon City, TX 79928-7496 - Phone
- (915) 256-2102
- NPI assigned
- Apr 16, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 16549 | TX | Primary |
Addresses
Primary practice location
113 Camino Cresta PL
Horizon City, TX 79928-7496
Mailing address
113 Camino Cresta PL
Horizon City, TX 79928-7496
Phone (915) 256-2102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148178001 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16549 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1376106393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 CAMINO CRESTA PL",
"city": "HORIZON CITY",
"state": "TX",
"postal_code": "799287496",
"telephone_number": "915-256-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 CAMINO CRESTA PL",
"city": "HORIZON CITY",
"state": "TX",
"postal_code": "799287496",
"telephone_number": "915-256-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESION",
"first_name": "JERUSALEM",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-16",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "16549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148178001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Horizon City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.