Individual provider Active NPI

Emily Gross, LPC

  • Professional Counselor
  • Jacksonville, TX
National Provider Identifier
1932707882
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
77236 Issued in TX
Practice address
1011 College Ave
Jacksonville, TX 75766-3307
Phone
(903) 589-9000
Fax
(903) 589-3443
NPI assigned
Oct 13, 2020
Last updated
Mar 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X TEL1070 LA
Professional Counselor 101YP2500X 0020662 CO
Professional Counselor 101YP2500X 77236 TX Primary

Addresses

Primary practice location

1011 College Ave
Jacksonville, TX 75766-3307

Mailing address

1011 College Ave
Jacksonville, TX 75766-3307
Phone (903) 589-9000

Other identifiers 1

IdentifierTypeStateIssuer
77236OtherTXTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240123000956 TX Practitioner - Mental Health Counselor 5890147151 Reassigns benefits to 3 organizations
I20260317000280 CO Practitioner - Mental Health Counselor 5890147151 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

Practice addresses (Care Compare)

1011 College Ave
Jacksonville, TX 75766-3307
Phone (903) 589-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0020662COMDProfessional Counselor
TEL1070LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Cherokee Community Enrichment Services CurrentSince Jan 1, 2024 Accepting new patients
Anderson Cherokee Community Enrichment Services Professional CurrentSince Jan 1, 2024 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Feb 10, 2026 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Jun 1, 2025 Accepting new patients

Locations

1560 Broadway
Ste 1600
Denver, CO 80202
Phone (480) 493-0900

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

1011 College Ave
Jacksonville, TX 75766
Phone (903) 541-2577

3320 S Loop 256
Palestine, TX 75801
Phone (903) 721-6136

Organizations & group practices 4

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": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1932707882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 COLLEGE AVE",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663307",
            "telephone_number": "903-589-9000",
            "fax_number": "903-589-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 COLLEGE AVE",
            "city": "JACKSONVILLE",
            "state": "TX",
            "postal_code": "757663307",
            "telephone_number": "903-589-9000",
            "fax_number": "903-589-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROSS",
        "first_name": "EMILY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "TEL1070",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "0020662",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "77236",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, TX

Sources for this page

Verify at the official NPI Registry.