Active NPI
Jennifer Cain, M.A., LPC, LCDC
- Professional Counselor
- Lake Jackson, TX
National Provider Identifier
1225539190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 75829
- Practice address
- 109 Circle Way St
Lake Jackson, TX 77566-5233 - Phone
- (979) 297-4335
- NPI assigned
- Feb 26, 2018
- Last updated
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13496 | TX | |
| Professional Counselor | 101YP2500X | 75829 | TX | Primary |
Addresses
Primary practice location
109 Circle Way St
Lake Jackson, TX 77566-5233
Mailing address
109 Circle Way St
Lake Jackson, TX 77566-5233
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13496 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 75829 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adorned Counseling by Jennifer Cain | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| Texas Family Solutions, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adorned Counseling
- Mental Health Counselor
- Houston, TX
- NPI 1629668132
Addiction (Substance Use Disorder)
-
- Marriage & Family Therapist
- Lake Jackson, TX
- NPI 1497873699
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519603200000",
"number": "1225539190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 CIRCLE WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 CIRCLE WAY ST",
"city": "LAKE JACKSON",
"state": "TX",
"postal_code": "775665233",
"telephone_number": "979-297-4335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAIN",
"first_name": "JENNIFER",
"credential": "M.A., LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2018-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "13496",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "75829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Jackson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.