Individual provider Active NPI

Jessica Nicole Watson, LPC

  • Professional Counselor
  • Waxahachie, TX
National Provider Identifier
1861922825
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
68472 Issued in TX
Practice address
464 Ridge Creek Rd
Waxahachie, TX 75167-8258
Phone
(972) 523-5088
NPI assigned
Jun 13, 2017
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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 68472 TX Primary

Addresses

Primary practice location

464 Ridge Creek Rd
Waxahachie, TX 75167-8258

Mailing address

464 Ridge Creek Rd
Waxahachie, TX 75167-8258
Phone (972) 523-5088

Other practice location 1

1305 W Jefferson St
Waxahachie, TX 75165-2269
Phone (866) 935-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240508003785 TX Practitioner - Mental Health Counselor 5991198236 Reassigns benefits to 2 organizations
I20250903004559 CO Practitioner - Mental Health Counselor 5991198236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
68472TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Star Counseling Services PLLC Professional Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 26, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jul 1, 2025 Accepting new patients

Locations

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 3

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1861922825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 RIDGE CREEK RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678258",
            "telephone_number": "972-523-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 RIDGE CREEK RD",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751678258",
            "telephone_number": "972-523-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 W Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Waxahachie",
            "state": "TX",
            "postal_code": "751652269",
            "country_code": "US",
            "telephone_number": "866-935-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "JESSICA",
        "middle_name": "NICOLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "68472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxahachie, TX

Sources for this page

Verify at the official NPI Registry.