JACQUELINE MARIE GUTIERREZ MS, LPC, NCC
NPI 1770217457
Counselor - Professional in San Antonio, TX

Active since July 10, 2022PECOS EnrolledAccepts Medicare Assignment
4242 MEDICAL DR STE 6300, SAN ANTONIO, TX 78229(844) 824-8775 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 4, 2024, Jul 10, 2022 (2 updates tracked since 2022).

About Jacqueline Marie Gutierrez Ms, Lpc, Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MARIE GUTIERREZ MS, LPC, NCC (NPI 1770217457) is an individual professional provider in San Antonio, Texas, licensed in Texas (85768) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1770217457
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACQUELINE MARIE GUTIERREZCredential: MS, LPC, NCC
Location Address4242 MEDICAL DR STE 6300San Antonio, TX 78229-5372
Mailing Address4242 Medical Dr Ste 6300San Antonio, TX 78229-5372 · (844) 824-8775
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 10, 2022
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1770217457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TX · 85768
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 85768 (TX)
4242 MEDICAL DR STE 6300, San Antonio, TX 78229

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Marie Gutierrez Ms, Lpc, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628428109
PECOS Enrollment IDI20231225000086
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Gutierrez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
8207 CALLAGHAN RD STE 350
San Antonio, TX 78230
  • Reassigned Medicare billing, Texas enrollment
  • 11 clinicians in this Medicare group
Mental Health
308 S FRIENDSWOOD DR STE 200
Friendswood, TX 77546
  • Reassigned Medicare billing, Texas enrollment
  • 494 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Psychologist (Clinical)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Social Worker (Clinical)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229
Counselor (Professional)
4242 MEDICAL DR STE 6300
SAN ANTONIO, TX 78229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Gutierrez's NPI number?

The NPI number for Jacqueline Gutierrez is 1770217457. It was assigned to this individual provider in the NPPES registry on July 10, 2022.

Where is Jacqueline Gutierrez located?

Jacqueline Gutierrez practices at 4242 Medical Dr Ste 6300, San Antonio, TX 78229. The listed phone number is (844) 824-8775.

What is Jacqueline Gutierrez's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jacqueline Gutierrez enrolled in Medicare?

Yes. Jacqueline Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Gutierrez reassigns Medicare benefits to 2 organizations: Mendez Counseling Centers, PLLC (San Antonio, TX) and Progressive Behavioral Health, PLLC (Friendswood, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacqueline Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Gutierrez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Jacqueline Gutierrez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacqueline Gutierrez was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.