P Praxis·MD
● Active Type 1 · Individual

Jessica F Boulanger, MED, LPC, NCC, CCTP

Counselor·San Antonio, TX· NPI 1831595818 · Enumerated 2014 · 11 years on NPI
Boulanger is 1 of 2001 counselor providers in San Antonio and 1 of 23131 in Texas.
NPI age
11 years
Enumerated 2014-11-18
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-04-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23131 active counselor providers in Texas.

NPI age
11 years
↑ 4 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2014 → 2026

2014-11Enumerated in NPPES
2014 2026

Where they practice

Practice location
4414 Centerview Ste 204
San Antonio, TX 782281432
📞 2107394200fax 2107573220
Mailing address
4414 Centerview Ste 204
San Antonio, TX 782281432
📞 2107394200fax 2107573220

Specialties

  • Counselor Primary
    Definition to come...
    TX license #67194 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    TX license #67194 taxonomy 101YM0800X

Identifiers

TypeValueNotes
01 226826 NATIONAL CERTIFIED COUNSELOR (NCC) - NATIONAL BOARD OF CERTIFIED COUNSELORS NBCC
01 (TX) 526802 AVAILITY -NATIONAL PROVIDER WORKFLOW SOLUTIONS FOR PAYORS
01 (TX) 998642 CERTIFIED CLINICAL TRAUMA PROFESSIONAL (CCTP) - EVERGREEN CERTIFICATIONS
01 (TX) 67194 LICENSED PROFESSIONAL COUNSELOR (LPC) - BEHAVIORAL HEALTH EXECUTIVE COUNSEL BHEC
01 12788486 CAQH NATIONAL PROVIDER DATABASE

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

Recently enumerated nearby: 43 new counselor providers have been added in San Antonio in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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