Individual provider Active NPI

Jasmine Wilson, MS, LMFTA

  • Marriage & Family Therapist
  • San Antonio, TX
National Provider Identifier
1396480711
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
16170 Jones Maltsberger Rd Ste 100
San Antonio, TX 78247-3203
Phone
(210) 294-4264
Fax
(830) 307-5577
NPI assigned
Apr 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

16170 Jones Maltsberger Rd Ste 100
San Antonio, TX 78247-3203

Mailing address

20403 Encino Ledge Unit 592581
San Antonio, TX 78259-0867
Phone (210) 294-4264

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jwilson@HOPEdevelopmentLLC.com Direct H.O.P.E. Youth and Family Development

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
H.O.P.E. Youth and Family Development Mental Health CurrentSince May 1, 2022 Accepting new patients

Locations

20403 Encino Ledge
Unit 592581
San Antonio, TX 78259
Phone (210) 294-4264

16170 Jones Maltsberger Rd
Ste 100
San Antonio, TX 78247
Phone (210) 294-4264

Interoperability endpoints

  • Direct secure messaging: jwilson@hopedevelopmentllc.com

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": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1396480711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20403 ENCINO LEDGE UNIT 592581",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782590867",
            "telephone_number": "210-294-4264",
            "fax_number": "830-307-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16170 JONES MALTSBERGER RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473203",
            "telephone_number": "210-294-4264",
            "fax_number": "830-307-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JASMINE",
        "credential": "MS, LMFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwilson@HOPEdevelopmentLLC.com",
            "affiliation": "Y",
            "endpointDescription": "secure email",
            "affiliationName": "H.O.P.E. Youth and Family Development",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16170 Jones Maltsberger Rd Ste 100",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782473203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.