Organization Active NPI

JC Victory Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1093582298
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
JC VICTORY HEALTH LLC
Practice address
445 Murphy Rd Ste 101B-1
Stafford, TX 77477-5453
Phone
(832) 729-1461
Fax
(832) 539-1448
NPI assigned
Dec 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2023

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

Authorized official

Name
Jessy Cecil, MSNNPI 1255045233
Title
Co-Owner
Phone
(832) 729-2461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

445 Murphy Rd Ste 101B-1
Stafford, TX 77477-5453

Mailing address

445 Murphy Rd Ste 101B-1
Stafford, TX 77477-5453
Phone (832) 729-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231219001702 TX Part B Supplier - Clinic/Group Practice 7315397254 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

2743 Smith Ranch Rd
Unit 2501
Pearland, TX 77584
Phone (832) 539-1137

445 Murphy Rd
Ste 101B1
Stafford, TX 77477
Phone (832) 729-1461

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1093582298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 MURPHY RD STE 101B-1",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775453",
            "telephone_number": "832-729-1461",
            "fax_number": "832-539-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MURPHY RD STE 101B-1",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775453",
            "telephone_number": "832-729-1461",
            "fax_number": "832-539-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC VICTORY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "CECIL",
        "authorized_official_first_name": "JESSY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "832-729-2461",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.