Individual provider Active NPI

Jessica Lee Bylsma Lichy, MA, LPC

  • Mental Health Counselor
  • New Braunfels, TX
National Provider Identifier
1700290830
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
69926 Issued in TX
Practice address
184 Comal Ave
New Braunfels, TX 78130-4508
Phone
(903) 240-9922
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 69926 TX Primary

Addresses

Primary practice location

184 Comal Ave
New Braunfels, TX 78130-4508

Mailing address

P.O. Box 310994
New Braunfels, TX 78131
Phone (830) 609-9994

Other names 1

  • Ms. Jessica Lee Bylsma Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 15, 2024 through Feb 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
69926TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Center for Counseling & Consulting, PLLC. Mental Health CurrentSince Sep 15, 2024 Accepting new patients

Locations

686 S Seguin Ave
Unit 310994
New Braunfels, TX 78131

184 Comal Ave
New Braunfels, TX 78130
Phone (903) 240-9922

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1700290830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 310994",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "78131",
            "telephone_number": "830-609-9994",
            "fax_number": "830-609-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 COMAL AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304508",
            "telephone_number": "903-240-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHY",
        "first_name": "JESSICA",
        "middle_name": "LEE BYLSMA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "69926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BYLSMA",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.