JON C ANITSAKIS (LPC) – Professional Counselor, NPI 1700148392

JON C ANITSAKIS (LPC) is a healthcare provider. based in Beaumont, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 65840 (TX). The NPI Number for JON C ANITSAKIS (LPC) is 1700148392

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
JON C ANITSAKIS (LPC)
NPI
1700148392
Phone
(409) 200-2220
Address
4749 Odom Rd
Enumeration Date
11 June 2012
Last Update Date
14 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092002220
Graduation Year
2008 (18 years ago)
PAC ID
0042662025
Group Practice PAC ID
8820315138
Professional Enrollment ID
I20240115001739
Address ID
TX776573701LU105XXCIRX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,949 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for JON C ANITSAKIS (LPC)

  • 4749 Odom Rd

    Beaumont, TX 777067080

    Phone: (409) 200-2220

    Fax: (409) 440-3344

    Type: Location

  • 920 EDSON DR

    BEAUMONT, TX 777064509

    Phone: (409) 201-9515

    Type: Mailing

  • 105 CANYON LAKE CIR

    LUMBERTON, TX 776573701

    Phone: (409) 200-2220

    Fax: (409) 440-3344

    Type: Location

  • 2750 S 8TH ST

    BEAUMONT, TX 777017719

    Phone: (409) 839-1003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240115001739IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77706)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8820315138View full group profile
NameSpecialtyState
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX
Marriage And Family TherapistTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical PsychologistTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX

Reviews

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Frequently asked questions

What federal number belongs to JON C ANITSAKIS (LPC)?
The federal identifier for JON C ANITSAKIS (LPC) is NPI 1700148392.
Is JON C ANITSAKIS (LPC) active in the national directory?
JON C ANITSAKIS (LPC)'s public NPI profile is in an active state.
What kind of provider is JON C ANITSAKIS (LPC)?
The page reflects Professional Counselor for JON C ANITSAKIS (LPC). Clinical services aligned with this taxonomy classification.
Where is JON C ANITSAKIS (LPC)'s primary listing?
We display Beaumont, Texas because that is what the record indicates for JON C ANITSAKIS (LPC).
How can I contact JON C ANITSAKIS (LPC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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