Individual provider Active NPI

Jimmie Sue Siptak, MS, LPC

  • Mental Health Counselor
  • Alvin, TX
National Provider Identifier
1003014812
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6096 Issued in TX
Practice address
107 E Sealy St
Alvin, TX 77511-2440
Phone
(281) 585-0000
Fax
(281) 585-0080
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6096 TX Primary
Professional Counselor 101YP2500X 6096 TX

Addresses

Primary practice location

107 E Sealy St
Alvin, TX 77511-2440

Mailing address

107 E Sealy St
Alvin, TX 77511-2440
Phone (281) 585-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6096TXMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1003014812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E SEALY ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112440",
            "telephone_number": "281-585-0000",
            "fax_number": "281-585-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E SEALY ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775112440",
            "telephone_number": "281-585-0000",
            "fax_number": "281-585-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIPTAK",
        "first_name": "JIMMIE",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "6096",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "6096",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.