Individual provider Active NPI

Jacqueline Ciccio Parsons, PH.D.

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1699085217
Registry record updated Oct 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
64989 Issued in TX
Practice address
13114 N Hunters Cir
San Antonio, TX 78230-2843
Phone
(210) 865-4783
NPI assigned
Oct 15, 2010
Last updated
Oct 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2010

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 64989 TX
Professional Counselor 101YP2500X 64989 TX Primary

Addresses

Primary practice location

13114 N Hunters Cir
San Antonio, TX 78230-2843

Mailing address

13114 N Hunters Cir
San Antonio, TX 78230-2843
Phone (210) 865-4783

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425001017 TX Practitioner - Mental Health Counselor 0547600421 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Senior Psychological Care Sa I LLCGroup PAC ID 5193999860, 13 clinicians

Practice addresses (Care Compare)

202 Fortune Dr
Corpus Christi, TX 78405-3919
Phone (361) 289-0889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
64989TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Apr 1, 2024 Accepting new patients
Senior Psychological Care Sa I, LLC Professional CurrentSince Jul 28, 2025 Accepting new patients

Locations

11127 Circle Dr
Austin, TX 78736
Phone (512) 288-8844

202 Fortune Dr
Corpus Christi, TX 78405
Phone (361) 252-0734

3801 Cimarron Blvd
Corpus Christi, TX 78414
Phone (361) 993-8500

4635 Southwest Fwy
Ste 635
Houston, TX 77027
Phone (214) 923-7777

5027 Pecan Grove Blvd
San Antonio, TX 78222
Phone (210) 333-6815

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1699085217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13114 N HUNTERS CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302843",
            "telephone_number": "210-865-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13114 N HUNTERS CIR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302843",
            "telephone_number": "210-865-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARSONS",
        "first_name": "JACQUELINE",
        "middle_name": "CICCIO",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64989",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.