Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Jerry Mercado , PhD, LPC, NCC

Counselor - Professional β€’ Austin, TX

Active NPI 1124457072 Individual Practitioner Male Practitioner
Practice location in NPPES

2021 Guadalupe St Ste 260
Austin, TX 787055654

Call 7873087430 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2021 Guadalupe St Ste 260

Austin, TX 787055654

Telephone 7873087430
Organization at the Same NPPES Address or Phone
Lightyear Health Clinic Texas, Pllc Facility NPI 1063185874

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Houston, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mercado has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mercado as eligible to order or refer Medicare Part B clinical laboratory and imaging services and durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Austin and Texas

1,565 active clinicians are listed under Counselor - Professional with a practice address in Austin, TX (21,166 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Austin

2% of these 1,565 clinicians have the CMS telehealth indicator.

6% of these 1,565 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-19
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES TX 88646
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1307576 (MA)
Medicaid ID
1303295 (MA)
Other Identifier Blue Cross Blue Shield
M18463

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - MENTAL HEALTH COUNSELOR

Medicare Enrollment ID

I20250218003726

Enrollment State Jurisdiction

TX

PECOS Control ID

8527588748

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

10802 Misty Summit Dr

Houston, TX 770861923

Phone: 7873087430

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Lisa Beaver , FNP

Nurse Practitioner - Family

NPI 1780094490

Family Nurse Practitioner

Jennifer Cannizzaro , CRNP

Nurse Practitioner - Family

NPI 1659752889

Certified Registered Nurse Practitioner

Dr. Frederick Flo , MD

Emergency Medicine

NPI 1184041402

Doctor of Medicine (M.D.)

Leslie Garber , LCSW

Social Worker - Clinical

NPI 1407546773

Licensed Clinical Social Worker

Dr. Kendra Smith , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1710369848

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location April 19, 2025

Registered at 2021 GUADALUPE ST STE 260, AUSTIN, TX 787055654 (Tel: 7873087430)

🏒
Secondary Practice Location Registered April 19, 2025

Additional practice office at 10802 Misty Summit Dr, Houston, TX 770861923

πŸ‘€
Provider Name / Credentials Updated April 19, 2025

Recorded as JERRY MERCADO, PHD, LPC, NCC

πŸ“
Updated Practice Location January 30, 2025

Registered at 10802 MISTY SUMMIT DR, HOUSTON, TX 770861923 (Tel: 7873087430)

πŸ“
Updated Business Mailing Address January 30, 2025

Registered at 10802 MISTY SUMMIT DR, HOUSTON, TX 770861923 (Tel: 7873087430)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2025

Counselor (license number reported to NPPES: TX 88646)

βœ…
NPI Profile Active November 01, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 01, 2013

Registered at 120 MAPLE ST, SPRINGFIELD, MA 011032203 (Tel: 4138460445)

πŸ“
Business Mailing Address (Initial Record) November 01, 2013

Registered at 120 MAPLE ST, SPRINGFIELD, MA 011032203 (Tel: 4138460445)

πŸ‘€
Provider Name / Credentials (Initial Record) November 01, 2013

Recorded as JERRY MERCADO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2013

Counselor

🟒
Initial NPI Registration & Enumeration November 01, 2013

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1124457072
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 01, 2013
Last Update: April 19, 2025
Sole Proprietor: Yes

Other Counselor - Professionals in Austin

Healthcare providers in Austin

Mailing Address

10802 Misty Summit Dr

Houston, TX 770861923

Phone: 7873087430

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.