Individual provider · Type 1 NPI

Jake Rasberry

Professional Counselor · Austin, TX

NPI number 1992483887 Active

Practice location

11754 Jollyville Rd Ste 110
Austin, TX 78759-3948

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X86392 (TX)

Professional Counselor: Definition to come...

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About NPI 1992483887

Jake Rasberry's National Provider Identifier is 1992483887, issued on Jul 10, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Mar 2, 2026.