Jacob Pizana

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

77616 Issued in TX

Practice address

1281 Stroman Dr
Eagle Pass, TX 78852-3541

Phone

(956) 455-7094

NPI assigned

Nov 10, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Choose Counseling Center

  • Mental Health Counselor
  • Eagle Pass, TX
  • NPI 1992375265

  Mental Health

  NPD Authorized official
• Camino Real Community MHMR Center

  • Case Management Agency
  • Lytle, TX
  • NPI 1154411262
  NPD

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

{
    "created_epoch": "1541808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1780152447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 STROMAN DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523541",
            "telephone_number": "956-455-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 STROMAN DR",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788523541",
            "telephone_number": "956-455-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZANA",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-10",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77616",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Manuel Perez
• Performance Therapeutics - Eagle Pass PLLC
• Performance Therapeutics - Eagle Pass, PLLC
• Cynthia Picazo
• Thomas Anthony Pitts III
• Primary Care of Eagle Pass PLLC
• Priscilla R Heredia OD PLLC
• Patricia Macatangay Quinio
• Eduardo Jose Quintanilla Jerez, MD
• R R Hixson, Inc.

• All providers in Eagle Pass, TX
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.