Active NPI
Jennifer Alissa Vasquez, PHD, LCSW-S
- Clinical Social Worker
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 54262
- Practice address
- 5900 Balcones Drive
Ste 12078
Austin, TX 78731 - Phone
- (512) 577-2255
- NPI assigned
- Dec 23, 2015
- Last updated
- Jul 16, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 54262 | TX | Primary |
Addresses
Primary practice location
5900 Balcones Drive
Ste 12078
Austin, TX 78731
Mailing address
5900 Balcones Dr Ste 12078
Austin, TX 78731-4257
Phone (512) 785-7757
Other practice location 1
119 S Western Ave Unit 1
Chicago, IL 60612-4644
Phone (512) 577-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13663799 | Other | TX | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 16, 2024 through Mar 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54262 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspiredpracticellc | Clinical | Current | Accepting new patients |
| Yoga Jena Wellness LLC | Clinical | Current | Accepting new patients |
Locations
5900 Balcones Dr
Ste 12078
Austin, TX 78731
Phone (512) 577-2255
5900 Balcones Dr
Ste 12079
Austin, TX 78731
Phone (512) 577-2255
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.
-
- Clinical Social Worker
- Austin, TX
- NPI 1942954557
-
- Clinical Social Worker
- Austin, TX
- NPI 1962106005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784160000000",
"number": "1912362641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BALCONES DR STE 12078",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314257",
"telephone_number": "512-785-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BALCONES DRIVE",
"address_2": "STE 12078",
"city": "AUSTIN",
"state": "TX",
"postal_code": "78731",
"telephone_number": "512-577-2255"
}
],
"practiceLocations": [
{
"address_1": "119 S Western Ave Unit 1",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606124644",
"country_code": "US",
"telephone_number": "512-577-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "JENNIFER",
"middle_name": "ALISSA",
"name_prefix": "Dr.",
"credential": "PHD, LCSW-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-23",
"last_updated": "2026-07-16",
"certification_date": "2026-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "54262",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13663799",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.