Individual provider Active NPI

Jacqueline Contreras, PH.D., LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1669068946
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5835 Callaghan Rd Ste 305
San Antonio, TX 78228-1132
Phone
(210) 570-0818
NPI assigned
Dec 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 79487 TX
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5835 Callaghan Rd Ste 305
San Antonio, TX 78228-1132

Mailing address

12127 Faithcrest
San Antonio, TX 78253-5498
Phone (210) 570-0818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
79487TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Contreras Counseling & Chronic Pain Support Professional CurrentSince Jul 22, 2025 Accepting new patients
Grit & Grace Counseling, PLLC Professional PastSince Mar 1, 2021 Accepting new patients
Scope Diagnostics Inc PastSince Dec 1, 2020 Accepting new patients

Locations

5835 Callaghan Rd
Ste 305
San Antonio, TX 78228
Phone (210) 570-0818

Organizations & group practices 3

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": "1608508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1669068946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12127 FAITHCREST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535498",
            "telephone_number": "210-570-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CALLAGHAN RD STE 305",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281132",
            "telephone_number": "210-570-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-21",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "79487",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.