Active NPI
Jessica Viviann Deron, LPC
- Professional Counselor
- Edinburg, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 98090
- Practice address
- 5205 S McColl Rd
Edinburg, TX 78539-7861 - Phone
- (956) 917-9301
- Fax
- (956) 265-1358
- NPI assigned
- Jun 12, 2017
- Last updated
- Jun 25, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180014528 | IL | |
| Professional Counselor | 101YP2500X | 178012473 | IL | |
| Professional Counselor | 101YP2500X | 0019228 | CO | |
| Professional Counselor | 101YP2500X | 98090 | TX | Primary |
Addresses
Primary practice location
5205 S McColl Rd
Edinburg, TX 78539-7861
Mailing address
1405 E Samano St
Edinburg, TX 78539-4877
Phone (720) 331-2585
Other practice location 1
404 W Boughton Rd Ste A
Bolingbrook, IL 60440-1898
Phone (630) 759-4000
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
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5205 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 917-9301
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178012473 | IL | MD | Professional Counselor |
| 180014528 | IL | MD | Professional Counselor |
| 98090 | TX | MD | Professional Counselor |
| 0019228 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Psychotherapy & Assessment, PLLC | Professional | Current | Accepting new patients |
Locations
5205 S McColl Rd
Edinburg, TX 78539
Phone (956) 917-9301
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Edinburg, TX
- NPI 1013725084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1629507751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1405 E SAMANO ST",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785394877",
"telephone_number": "720-331-2585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5205 S MCCOLL RD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785397861",
"telephone_number": "956-917-9301",
"fax_number": "956-265-1358"
}
],
"practiceLocations": [
{
"address_1": "404 W Boughton Rd Ste A",
"address_purpose": "LOCATION",
"city": "Bolingbrook",
"state": "IL",
"postal_code": "604401898",
"country_code": "US",
"telephone_number": "630-759-4000",
"fax_number": "630-759-5220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERON",
"first_name": "JESSICA",
"middle_name": "VIVIANN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-06-12",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180014528",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178012473",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0019228",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "98090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.