Individual provider Active NPI

Belinda Jimerson-Colston, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Orange, TX
National Provider Identifier
1184099533
Registry record updated Dec 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13226 Issued in TX
Practice address
4303 Tejas Pkwy
Orange, TX 77632-1358
Phone
(409) 839-3857
Fax
(409) 883-7076
NPI assigned
Dec 10, 2015
Last updated
Dec 10, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13226 TX Primary

Addresses

Primary practice location

4303 Tejas Pkwy
Orange, TX 77632-1358

Mailing address

4303 Tejas Pkwy
Orange, TX 77632-1358
Phone (409) 839-3857

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

State licenses

LicenseStateTypeSpecialty
13226TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1184099533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 TEJAS PKWY",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776321358",
            "telephone_number": "409-839-3857",
            "fax_number": "409-883-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4303 TEJAS PKWY",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776321358",
            "telephone_number": "409-839-3857",
            "fax_number": "409-883-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMERSON-COLSTON",
        "first_name": "BELINDA",
        "credential": "LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-10",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.