Jake Rasberry

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

86392 Issued in TX

Practice address

11754 Jollyville Rd Ste 110
Austin, TX 78759-3948

Phone

(512) 331-2700

NPI assigned

Jul 10, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Timothy Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Austin, TX
  • NPI 1902183577

  Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1992483887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11754 JOLLYVILLE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593948",
            "telephone_number": "512-331-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11754 JOLLYVILLE RD STE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787593948",
            "telephone_number": "512-331-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASBERRY",
        "first_name": "JAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Raptis
• Raptor Healthcare
• Farahnaz Raqib, M.D.
• Alexis Toledo Raqueno, DPT
• Haylea Rasaka
• Vicki Jo Raschke, MSN, APRN, AGCNS-BC
• Dannyell Harris Rasco, MS
• Emily E Rasco, OTR
• Alexander Lazar Rasgon, MD, MS
• Karina Rash

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.