Active NPI
David Jaskowiak, LPC
- Professional Counselor
- Harker Heights, TX
National Provider Identifier
1477055507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 74530
- Practice address
- 775 Indian TRL Ste 200
Harker Heights, TX 76548-7026 - Phone
- (877) 800-5722
- NPI assigned
- Mar 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 74530 | TX | Primary |
Addresses
Primary practice location
775 Indian TRL Ste 200
Harker Heights, TX 76548-7026
Mailing address
205 E University Ave Ste 200
Georgetown, TX 78626-6821
Phone (512) 686-0207
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | david.jaskowiak.p1@direct.lscctx.nextgenshare.com |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 74530 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Counties Center for Mental Health & Mental Retardation SRVS | Current | Accepting new patients | |
| Central Counties Center for Mental Health & Mental Retardation SRVS | Current | Accepting new patients | |
| Family Care Center LLC, | Current | Accepting new patients | |
| Family Care Center, LLC | Professional | Current | Accepting new patients |
Locations
3705 Medical Pkwy
Ste 410
Austin, TX 78705
Phone (512) 320-5779
551 S Interstate 35
Ste 200
Round Rock, TX 78664
Phone (512) 241-7314
304 S 22nd St
Temple, TX 76501
Phone (254) 298-7000
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Temple, TX
- NPI 1356310585
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Round Rock, TX
- NPI 1427786482
-
- Family Medicine Physician
- Temple, TX
- NPI 1023501939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1477055507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 E UNIVERSITY AVE STE 200",
"city": "GEORGETOWN",
"state": "TX",
"postal_code": "786266821",
"telephone_number": "512-686-0207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 INDIAN TRL STE 200",
"city": "HARKER HEIGHTS",
"state": "TX",
"postal_code": "765487026",
"telephone_number": "877-800-5722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JASKOWIAK",
"first_name": "DAVID",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-05",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "74530",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "david.jaskowiak.p1@direct.lscctx.nextgenshare.com",
"affiliation": "N",
"address_1": "775 Indian Trl Ste 200",
"city": "Harker Heights",
"state": "TX",
"country_code": "US",
"postal_code": "765487026",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Harker Heights, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.