Individual provider Active NPI

Jared Calaway, LPC

  • Professional Counselor
  • Boerne, TX
National Provider Identifier
1962713685
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63728 Issued in TX
Practice address
101 Woods of Boerne Blvd Ste 200
Boerne, TX 78006-2882
Phone
(830) 967-7422
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 63728 TX Primary

Addresses

Primary practice location

101 Woods of Boerne Blvd Ste 200
Boerne, TX 78006-2882

Mailing address

101 Woods of Boerne Blvd Ste 200
Boerne, TX 78006-2882
Phone (830) 967-7422

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
63728TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Counseling Center of Texas, LLC CurrentSince Mar 30, 2025 Accepting new patients
Grace Counceling Center Professional Past Accepting new patients

Locations

101 Woods of Boerne Blvd
Ste 200
Boerne, TX 78006
Phone (830) 967-7422

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1962713685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WOODS OF BOERNE BLVD STE 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062882",
            "telephone_number": "830-967-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 WOODS OF BOERNE BLVD STE 200",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780062882",
            "telephone_number": "830-967-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALAWAY",
        "first_name": "JARED",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.