Individual provider Active NPI

Jonette Lucio, MA, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1750717724
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65383 Issued in TX
Practice address
6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445
Phone
(210) 769-3811
Fax
(210) 634-2517
NPI assigned
Sep 22, 2013
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 65383 TX Primary

Addresses

Primary practice location

6502 Bandera Rd Ste 101
San Antonio, TX 78238-1445

Mailing address

8407 Meadow PLNS
San Antonio, TX 78254-2830

Other practice location 1

1818 S New Braunfels Ave Ste 305
San Antonio, TX 78210-3019
Phone (210) 769-3811

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
I20240114000086 TX Practitioner - Mental Health Counselor 8022460153 Reassigns benefits to 1 organization

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
Stellar Counseling PLLCGroup PAC ID 7113379249, 3 clinicians

Practice addresses (Care Compare)

6502 Bandera Rd
Suite 101
San Antonio, TX 78238-1445
Phone (210) 769-3811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
65383TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Counseling PLLC Professional CurrentSince Dec 1, 2023 Accepting new patients

Locations

1818 S New Braunfels Ave
Ste 305
San Antonio, TX 78210
Phone (210) 769-3811

6502 Bandera Rd
Ste 101
San Antonio, TX 78238
Phone (210) 769-3811

6502 Bandera Rd
Ste 202B
San Antonio, TX 78238

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, 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": "1379808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1750717724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8407 MEADOW PLNS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 BANDERA RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381445",
            "telephone_number": "210-769-3811",
            "fax_number": "210-634-2517"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 S New Braunfels Ave Ste 305",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782103019",
            "country_code": "US",
            "telephone_number": "210-769-3811",
            "fax_number": "210-634-2517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCIO",
        "first_name": "JONETTE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-22",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.