Individual provider Active NPI

Jennifer Alcala De la Rosa, LPC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1710602453
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
84579 Issued in TX
Practice address
6025 Fountainwood Dr
San Antonio, TX 78233-4417
Phone
(210) 494-3415
NPI assigned
Oct 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 84579 TX Primary

Addresses

Primary practice location

6025 Fountainwood Dr
San Antonio, TX 78233-4417

Mailing address

6025 Fountainwood Dr
San Antonio, TX 78233-4417
Phone (210) 494-3415

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sa Youth Mental Health CurrentSince Feb 17, 2025 Accepting new patients
Grit & Grace Counseling, PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1215 W Poplar St
San Antonio, TX 78207
Phone (210) 223-3131

5835 Callaghan Rd
Ste 203
San Antonio, TX 78228
Phone (210) 239-8756

11653 Galm Rd
Bldg 2
San Antonio, TX 78254
Phone (210) 446-6454

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": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1710602453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 FOUNTAINWOOD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782334417",
            "telephone_number": "210-494-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 FOUNTAINWOOD DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782334417",
            "telephone_number": "210-494-3415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA ROSA",
        "first_name": "JENNIFER",
        "middle_name": "ALCALA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "84579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.