Jessica Resendez, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

72911 Issued in TX

Practice address

5219 McPherson Rd Ste 312
Laredo, TX 78041-7322

Phone

(956) 898-1595

Fax

(956) 857-3208

NPI assigned

Dec 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chanderbhan Psychological Services PLLC

  • Clinical Psychologist
  • Laredo, TX
  • NPI 1073959821
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1477191963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 SANTANDER DR",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780467422",
            "telephone_number": "956-220-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 MCPHERSON RD STE 312",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780417322",
            "telephone_number": "956-898-1595",
            "fax_number": "956-857-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESENDEZ",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-15",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "72911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers-Southeast, LP. (La Central Dialysis)
• Rosa Alicia Rendon, RN, FNP-BC
• Renova Physical Therapy & Wellness, PLLC
• Renovar Health Services
• Andrea Renteria I
• Restoration Medical Equipment & Supply Co. LLC
• Benito Reyes
• Charles Anthony Reyes, D.D.S.
• David Edgardo Reyes, CNP
• Elizabeth Reyes

• Counselor in Laredo, TX
• Providers in Laredo, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.

Verify at the official NPI Registry.