Active NPI
Jesus Guevara III, LPC
- Professional Counselor
- Lake Jackson, TX
National Provider Identifier
1891238952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73172
- Practice address
- 135 Oyster Creek Dr Ste a
Lake Jackson, TX 77566-4119 - Phone
- (979) 233-1584
- NPI assigned
- Nov 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73172 | TX | Primary |
Addresses
Primary practice location
135 Oyster Creek Dr Ste a
Lake Jackson, TX 77566-4119
Mailing address
135 Oyster Creek Dr Ste a
Lake Jackson, TX 77566-4119
Phone (979) 233-1584
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73172 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mys Counseling & Assessment PLLC | Professional | Current | Accepting new patients |
Locations
135 Oyster Creek Dr
Ste A
Lake Jackson, TX 77566
Phone (512) 999-1278
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1891238952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 OYSTER CREEK DR STE A",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664119",
"telephone_number": "979-233-1584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 OYSTER CREEK DR STE A",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775664119",
"telephone_number": "979-233-1584"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "JESUS",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-22",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.