Jazmyn Jessica Contreras, LPC, LCDC
Individual provider Active NPI Mental Health Counselor · Pearsall, TX
NPI 1891491346 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1891491346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 88112 (TX)
- Practice address
- 411 E Brazos St
Pearsall, TX 78061-3232 - Phone
- (830) 334-0075
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231129002820 | TX | Practitioner - Mental Health Counselor | 5395193437 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bexar County Board of Trustees for Mental Health Mental Retardation | Current |
Accepting new patients | |
| Bexar County Board of Trustees for Mental Health Mental Retardation | Current |
Accepting new patients |
Locations
6800 Park Ten Blvd
Ste 200S
San Antonio, TX 78213
Phone 21026110001060
227 W Drexel Ave
Bldg A
San Antonio, TX 78210
Phone (210) 261-1250
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88112 | TX | Yes |
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
Other providers in Pearsall, TX
- Mechlle Byrom
- Jesus Michael Cantu
- Carlos Casas
- William Curtis Cogburn
- Community General Hospital of Dilley Texas Inc
- Marlon J Cook
- Nora H Cruz
- Daily Health Services, Inc.
- Dva Healthcare Renal Care Inc
- Omar El-Kweifi
All providers in Pearsall, TX · Mental Health Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.