JESSICA CALDERON (NPI# 1326432162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326432162 |
| Entity Type | Individual |
| Full Name | JESSICA CALDERON |
| Credential | M.A., LPC |
| Practice Address |
138 Old San Antonio Rd Ste 505 Boerne TX 78006-3492 |
| Practice Telephone | 5127663579 |
| Mailing Telephone | 5127663579 |
| Enumeration Date | 2015-03-18 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
65759 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 344671805 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 31320 Interstate 10 W, Suite A, Boerne, TX 780065027 | 5127663579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982151239 | Jessica Calderon | Registered Nurse | 501 Murphy Ranch Rd Apt 413, Milpitas, CA 95035-7948 | 2016-09-03 |
| 1104253830 | Jessica Calderon | Speech-Language Pathologist | 5538 S Kenneth Ave, Chicago, IL 60629-4802 | 2013-09-26 |
| 1093925505 | Jessica Calderon | Specialist | 903 Interior Calle Munoz Rivera, Penuelas, PR 00624 | 2007-05-23 |
| 1144852294 | Jessica Calderon | Behavior Technician | 1330 Quail Lake Loop Ste 120, Colorado Springs, CO 80906-4651 | 2020-02-06 |
| 1245873116 | Jessica Calderon | Behavior Technician | 17595 Almahurst St, City of Industry, CA 91748-1779 | 2019-10-23 |
| 1295398311 | Jessica Calderon | Behavior Technician | 1025 Atlantic Ave Ste 101, Alameda, CA 94501-1188 | 2019-04-15 |
| Street Address |
138 OLD SAN ANTONIO RD STE 505 |
| City | BOERNE |
| State | TX |
| Zip Code | 78006-3492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218517 | Boerne Mens Clinic | Family Medicine | 138 Tx-46, Boerne, TX 78006 | 2020-09-01 |
| 1700431798 | Methodist Ambulatory Surgery Center of Boerne, LLC | Clinic/Center | 110 Menger Springs, Boerne, TX 78006 | 2019-08-06 |
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1265914600 | Shana North | Physical Therapy Assistant | 200 Ryan Street, Boerne, TX 78006 | 2018-09-02 |
| 1598258352 | Alamo Prosthetics LLC | Durable Medical Equipment & Medical Supplies | 28711 I 10 W, Boerne, TX 78006 | 2018-06-07 |
| 1578052312 | Premium Pharma, LLC | Pharmacy | 1 Fm 3351 S Ste 115, Boerne, TX 78006 | 2018-05-08 |
| 1952814386 | Advanced Surgical Care of Boerne, LLC | Clinic/Center | 138 Old San Antonio Rd # 400, Boerne, TX 78006 | 2017-11-07 |
| 1184151532 | River Road Pharmacy | Pharmacy | 910 River Rd Ste 103, Boerne, TX 78006 | 2017-05-16 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063955367 | Leigh Ann Grasso | Pharmacist | 31007 Ih 10 W, Ste 108, Boerne, TX 78006 | 2016-11-18 |
| Find all providers in zip 78006 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144704156 | Lauren Elizabeth Settle | Counselor | 26254 Interstate 10, Suite 224, Boerne, TX 78006 | 2018-09-17 |
| 1073030052 | Comfort Harbor Counseling & Wellness Center | Counselor | 100 W Hosack St Ste 104, Boerne, TX 78006-2644 | 2017-08-29 |
| 1487191565 | Olive Branch Hope Center, Inc | Counselor | 215 W Bandera Rd 114 Pmb 239, Boerne, TX 78006 | 2017-01-26 |
| 1063897320 | Kevin Lee Fox | Counselor | 417 Lake Side Cir, Boerne, TX 78006-5612 | 2015-07-28 |
| 1790181477 | Mallory Gonyer | Counselor | 217 E Bandera Rd, Suite 2, Boerne, TX 78006-2992 | 2014-11-07 |
| 1326471525 | Tricia Eileen Shirley | Counselor | 9440 Aqua Dr, Boerne, TX 78006-5360 | 2013-08-12 |
| 1831537463 | Noelle Elise Lutton | Counselor | 18 Scenic Loop Rd, Suite 200-d, Boerne, TX 78006-8606 | 2013-06-05 |
| 1932463064 | Earl Grady Yarbrough Jr. | Counselor | 1499 S Main St, Boerne, TX 78006-3303 | 2012-07-04 |
| 1356629216 | Donna D Smith | Counselor | 110 Hoskins Trl, Boerne, TX 78006-7987 | 2011-07-26 |
| 1306141536 | Randi Cathleen Cantu | Counselor | 1201 S Main St Ste 206, Boerne, TX 78006-2840 | 2011-01-19 |
| Find all providers in BOERNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.