Organization Active NPI

Jessie Mae Estrada, LPC, PLLC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1700422342
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JESSIE MAE ESTRADA, LPC, PLLC
Practice address
1852 Lockhill Selma Rd Ste 106
San Antonio, TX 78213-1500
Phone
(210) 687-2939
NPI assigned
Nov 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Authorized official

Name
Mrs. Jessie Mae Estrada, MA, LPC, CEDSNPI 1073951943
Title
Owner, LPC
Phone
(210) 687-2939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X

Addresses

Primary practice location

1852 Lockhill Selma Rd Ste 106
San Antonio, TX 78213-1500

Mailing address

PO Box 29783
San Antonio, TX 78229-0783
Phone (210) 687-2939

Other names 2

  • Hope Eating Recovery Doing business as
  • Mariposa Eating Recovery Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1700422342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29783",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782290783",
            "telephone_number": "210-687-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1852 LOCKHILL SELMA RD STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131500",
            "telephone_number": "210-687-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSIE MAE ESTRADA, LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "ESTRADA",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "OWNER, LPC",
        "authorized_official_telephone_number": "210-687-2939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LPC, CEDS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Eating Recovery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mariposa Eating Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 26, 2020; 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.