Individual provider Active NPI

Jessica Ann Santos, LMFT

  • Marriage & Family Therapist
  • Laredo, TX
National Provider Identifier
1386484228
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
204513 Issued in TX
Practice address
2619 San Isidro Pkwy Unit 905
Laredo, TX 78045-6573
Phone
(956) 693-7990
NPI assigned
May 29, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 204513 TX Primary

Addresses

Primary practice location

2619 San Isidro Pkwy Unit 905
Laredo, TX 78045-6573

Mailing address

2619 San Isidro Pkwy Unit 905
Laredo, TX 78045-6573
Phone (956) 693-7990

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
I20241118000325 TX Practitioner - Marriage and Family Therapist 3870027501 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
204513TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Marriage & Family Therapist CurrentSince Oct 11, 2024 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center CurrentSince Dec 19, 2024 Accepting new patients
Austin Travis County Mental Health and Mental Retardation Center Marriage & Family Therapist CurrentSince Dec 19, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1430 Collier St
Austin, TX 78704
Phone (512) 427-4357

6600 E Ben White Blvd
Austin, TX 78741
Phone (512) 804-3740

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1386484228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 SAN ISIDRO PKWY UNIT 905",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456573",
            "telephone_number": "956-693-7990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 SAN ISIDRO PKWY UNIT 905",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456573",
            "telephone_number": "956-693-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "204513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.