Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jiaxi Shao, LPCC

Individual provider Mental Health Counselor · NPI 1780460626

Jiaxi Shao, LPCC is a Mental Health Counselor in San Jose, California. Qualified in 2023, 3 years ago. Practices with Sokyahealth Medical Group PC, a 178-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and New York.

Years since qualifying
3
Licensed in
CA, NY
In the registry since
2023
Specialties on file
3
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1245 S Winchester Blvd Ste 110
San Jose, CA 95128-3908
Phone: (925) 282-1778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19266 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence P124028 (NY)
Mental Health Counselor Taxonomy 101YM0800X · Licence 19266 (CA)

Record details

NPI number1780460626
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sokyahealth Medical Group Pc — 178 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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