Individual provider Active NPI

Jasmin Calderon, LPC-ASSOCIATE

  • Counselor
  • Frisco, TX
National Provider Identifier
1962293852
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
93882 Issued in TX
Practice address
5899 Preston Rd Ste 601
Frisco, TX 75034-9591
Phone
(469) 209-4014
Fax
(469) 249-1307
NPI assigned
May 13, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
93882TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Revival PLLC CurrentSince May 18, 2025 Accepting new patients

Locations

5899 Preston Rd
Ste 601
Frisco, TX 75034
Phone (214) 783-1584

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 93882 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

5899 Preston Rd Ste 601
Frisco, TX 75034-9591

Mailing address

5899 Preston Rd Ste 601
Frisco, TX 75034-9591
Phone (469) 209-4014

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 13, 2025.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1962293852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 601",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349591",
            "telephone_number": "469-209-4014",
            "fax_number": "469-249-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5899 PRESTON RD STE 601",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349591",
            "telephone_number": "469-209-4014",
            "fax_number": "469-249-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JASMIN",
        "credential": "LPC-ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "93882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.