Jiovann A Carrasco, LPC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

161690601 Issued in TX

Practice address

9501 N Capital of Texas Hwy
Suite 103
Austin, TX 78759-6606

Phone

(512) 578-8070

Fax

(512) 578-8070

NPI assigned

May 7, 2007

Last updated

Mar 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Austin Mindfulness PLLC

  • Professional Counselor
  • Austin, TX
  • NPI 1992187702
  NPD (past) Authorized official

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394496000000",
    "number": "1730392069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 N CAPITAL OF TEXAS HWY",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596606",
            "telephone_number": "512-578-8070",
            "fax_number": "512-578-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 N CAPITAL OF TEXAS HWY",
            "address_2": "SUITE 103",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787596606",
            "telephone_number": "512-578-8070",
            "fax_number": "512-578-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "JIOVANN",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2014-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "161690601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161690601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanesa Carranco
• Alfredo Carranza III
• Wilbur Carranza, LPC
• Alejandra Varela Carrasco, M.D.
• Daniel Anthony Carrasco, MD
• Nicolas Carrasco, PHD
• Nidia Gisela Carrasco
• Ruy Carrasco, MD
• Melanie Carrell
• Paul Timothy Carrell, MD

• Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2014; 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.