MR. JOHN CLAY SELF L.P.C., L.C.D.C
NPI 1891120440
Counselor - Professional in Natalia, TX
About Mr. John Clay Self L.p.c., L.c.d.c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOHN CLAY SELF L.P.C., L.C.D.C (NPI 1891120440) is an individual professional provider in Natalia, Texas, licensed in Texas (72206) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses 3
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
Mr. John Clay Self L.p.c., L.c.d.c 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.
Medicare Billing Reassignment
Medicare enrollment records show John Self reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, Texas enrollment
- 262 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.
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 John Self's NPI number?
The NPI number for John Self is 1891120440. It was assigned to this individual provider in the NPPES registry on September 13, 2013.
Where is John Self located?
John Self practices at 743 County Road 6711, Natalia, TX 78059. The listed phone number is (210) 776-4028.
What is John Self's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is John Self enrolled in Medicare?
Yes. John Self 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 organization bills Medicare for John Self's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Self reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The 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 John Self's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Self accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Cigna Healthcare and Imperial Insurance Companies, Inc. and 2 other insurers list John Self 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 John Self was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mr. John Clay Self, L.P.C., L.C.D.C · NPI 1891120440
Professional provider in Natalia, Texas. Individual provider, active in the CMS NPPES registry since September 13, 2013.
## Identity
- **NPI:** 1891120440 (Entity type: Individual)
- **Enumerated:** September 13, 2013
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 72206 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 743 COUNTY ROAD 6711, Natalia, TX 78059-2696
- **Phone:** (210) 776-4028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** March 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891120440) · Data from the CMS NPPES public registry.