Individual provider Active NPI

Cecily Batiste Dawson, LPC

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1053973412
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78775 Issued in TX
Practice address
1408B Stonehollow Dr Ste 600
Kingwood, TX 77339-2277
Phone
(281) 849-4402
NPI assigned
Jul 5, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 78775 TX Primary

Addresses

Primary practice location

1408B Stonehollow Dr Ste 600
Kingwood, TX 77339-2277

Mailing address

1408A Stonehollow Dr Ste 300
Kingwood, TX 77339-2275
Phone (832) 510-4016

Other names 1

  • Cecily Ann Batiste Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240218000115 TX Practitioner - Mental Health Counselor 7214371202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1408 B Stonehollow Dr
Suite 600
Kingwood, TX 77339-2277
Phone (832) 510-4016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78775TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Experience Life Counseling Services, PLLC CurrentSince Jan 26, 2024 Accepting new patients

Locations

1408B Stonehollow Dr
Ste 600
Kingwood, TX 77339
Phone (281) 849-4402

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1053973412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408A STONEHOLLOW DR STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392275",
            "telephone_number": "832-510-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408B STONEHOLLOW DR STE 600",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392277",
            "telephone_number": "281-849-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "CECILY",
        "middle_name": "BATISTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CECILY",
            "last_name": "BATISTE",
            "middle_name": "ANN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.