Individual provider Active NPI

Jesusa Elena Jasso, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1649910332
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74236 Issued in TX
Practice address
12915 Jones Maltsberger Rd Ste 430
San Antonio, TX 78247-4255
Phone
(361) 000-0000
NPI assigned
Mar 30, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74236 TX Primary

Addresses

Primary practice location

12915 Jones Maltsberger Rd Ste 430
San Antonio, TX 78247-4255

Mailing address

4633 Branscomb Dr
Corpus Christi, TX 78411-2812
Phone (361) 445-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20241205000970 TX Practitioner - Mental Health Counselor 4789110438 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
74236TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC CurrentSince Nov 21, 2024 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Jan 25, 2025 Accepting new patients

Locations

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

Organizations & group practices 2

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1649910332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4633 BRANSCOMB DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784112812",
            "telephone_number": "361-445-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12915 JONES MALTSBERGER RD STE 430",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782474255",
            "telephone_number": "361-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSO",
        "first_name": "JESUSA",
        "middle_name": "ELENA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.