Individual provider Active NPI

Jeannette Caballero, M.A.

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1447532254
Registry record updated Sep 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17852 Issued in TX
Practice address
24527 Via Positano
San Antonio, TX 78260-4243
Phone
(210) 290-8921
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2011

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 17852 TX Primary

Addresses

Primary practice location

24527 Via Positano
San Antonio, TX 78260-4243

Mailing address

PO Box 690864
San Antonio, TX 78269-0864

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
I20240103000850 TX Practitioner - Mental Health Counselor 3375901556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Horizons Behavioral Health and Wellness, PLLCGroup PAC ID 1557729738, 5 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78230
Phone (512) 698-0489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
17852TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizons Behavioral Health and Wellness, PLLC Mental Health CurrentSince Mar 4, 2023 Accepting new patients

Locations

2313 Lockhill Selma Rd
San Antonio, TX 78230
Phone (210) 595-0606

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1447532254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690864",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782690864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24527 VIA POSITANO",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782604243",
            "telephone_number": "210-290-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "JEANNETTE",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.