Individual provider Active NPI

Jasie P Boyd, LCSW, LCDC

  • Clinical Social Worker
  • Cypress, TX
National Provider Identifier
1245794023
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
55561 Issued in TX
Practice address
16693 Huffmeister Rd Ste 100
Cypress, TX 77429
Phone
(281) 305-9387
Fax
(281) 617-4948
NPI assigned
Jan 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12229 TX
Clinical Social Worker 1041C0700X 55561 TX Primary

Addresses

Primary practice location

16693 Huffmeister Rd Ste 100
Cypress, TX 77429

Mailing address

16693 Huffmeister Rd Ste 100
Cypress, TX 77429
Phone (281) 915-3522

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
I20260612001671 TX Practitioner - Mental Health Counselor 9436629987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

16693 Huffmeister Rd
Cypress, TX 77429-1646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12229TXMDAddiction (Substance Use Disorder) Counselor
55561TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress Counseling & Wellness, LLC Clinical CurrentSince Nov 27, 2022 Accepting new patients

Locations

16693 Huffmeister Rd
Cypress, TX 77429
Phone (281) 305-9387

16693 Huffmeister Rd
Ste 100
Cypress, TX 77429
Phone (281) 305-9387

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1245794023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16693 HUFFMEISTER RD STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-915-3522",
            "fax_number": "281-617-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16693 HUFFMEISTER RD STE 100",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77429",
            "telephone_number": "281-305-9387",
            "fax_number": "281-617-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "JASIE",
        "middle_name": "P",
        "credential": "LCSW, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12229",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.