Individual provider Active NPI

Jesus Ramon Jasso Jr., LICENSED PROFESSIONA

  • Professional Counselor
  • Cypress, TX
National Provider Identifier
1902424757
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
80183 Issued in TX
Practice address
2126 Northwest Freeway/21216 U.S. 290 West
Suite 450
Cypress, TX 77429
Phone
(832) 237-2673
Fax
(832) 237-2676
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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 80183 TX Primary

Addresses

Primary practice location

2126 Northwest Freeway/21216 U.S. 290 West
Suite 450
Cypress, TX 77429

Mailing address

2126 Northwest Freeway/21216 U.S. 290 West
Suite 450
Cypress, TX 77429
Phone (832) 237-2673

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
I20240415003874 TX Practitioner - Mental Health Counselor 5092154658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Resilience Center of Houston LLCGroup PAC ID 6305131517, 51 clinicians

Practice addresses (Care Compare)

14930 Mueschke Rd
Suite 100
Cypress, TX 77433-0980
Phone (346) 206-3992

8665 New Trails Dr
Suite 185
The Woodlands, TX 77381-4272
Phone (346) 206-3992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Resilience Center of Houston, LLC Professional CurrentSince Mar 1, 2024 Accepting new patients

Locations

14930 Mueschke Rd
Ste 100
Cypress, TX 77433
Phone (713) 826-8150

8665 New Trails Dr
Ste 185
The Woodlands, TX 77381

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1902424757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 NORTHWEST FREEWAY/21216 U.S. 290 WEST",
            "address_2": "SUITE 450",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "832-237-2673",
            "fax_number": "832-237-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 NORTHWEST FREEWAY/21216 U.S. 290 WEST",
            "address_2": "SUITE 450",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "832-237-2673",
            "fax_number": "832-237-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASSO",
        "first_name": "JESUS",
        "middle_name": "RAMON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.