Individual provider Active NPI

Jazmyn Jessica Contreras, LPC, LCDC

  • Mental Health Counselor
  • Pearsall, TX
National Provider Identifier
1891491346
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88112 Issued in TX
Practice address
411 E Brazos St
Pearsall, TX 78061-3232
Phone
(830) 334-0075
NPI assigned
Feb 6, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88112 TX Primary

Addresses

Primary practice location

411 E Brazos St
Pearsall, TX 78061-3232

Mailing address

411 E Brazos St
Pearsall, TX 78061-3232
Phone (830) 334-0075

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
I20231129002820 TX Practitioner - Mental Health Counselor 5395193437 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Jan 5, 2026 Accepting new patients
Bexar County Board of Trustees for Mental Health Mental Retardation CurrentSince Jan 5, 2026 Accepting new patients

Locations

227 W Drexel Ave
Bldg A
San Antonio, TX 78210
Phone (210) 261-3500

6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone (210) 261-1042

Organizations & group practices 2

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": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1891491346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 E BRAZOS ST",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780613232",
            "telephone_number": "830-334-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E BRAZOS ST",
            "city": "PEARSALL",
            "state": "TX",
            "postal_code": "780613232",
            "telephone_number": "830-334-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "JAZMYN",
        "middle_name": "JESSICA",
        "credential": "LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "88112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearsall, TX

Sources for this page

Verify at the official NPI Registry.