Individual provider Active NPI

Jessy Cecil

  • Psychiatric/Mental Health Nurse Practitioner
  • Stafford, TX
National Provider Identifier
1255045233
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1105769 Issued in TX
Practice address
445 Murphy Rd Ste 101B
Stafford, TX 77477-5454
Phone
(832) 729-2461
NPI assigned
Jan 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1105769 TX Primary

Addresses

Primary practice location

445 Murphy Rd Ste 101B
Stafford, TX 77477-5454

Mailing address

13007 Fair Breeze LN
Pearland, TX 77584-3621
Phone (832) 729-2461

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219001951 TX Practitioner - Nurse Practitioner 8224488168 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

2743 Smith Ranch Rd
Unit 2501
Pearland, TX 77584-5204
Phone (832) 539-1137

3008 Blodgett St
Houston, TX 77004-5304
Phone (713) 498-8111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1105769TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lab Cloud Solutions LLC CurrentSince Oct 14, 2025 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Jul 30, 2024 Accepting new patients
Sangon Investments LLC Psychiatric/Mental Health CurrentSince Mar 18, 2024 Accepting new patients
JC Victory Health LLC Psychiatric/Mental Health CurrentSince Nov 7, 2023 Accepting new patients
Regions Integrated Health & Wellness LLC CurrentSince Jan 25, 2024 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 16, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

5555 West Loop S
Ste 345
Bellaire, TX 77401
Phone (713) 628-5160

8110 Gulf Fwy
Houston, TX 77017
Phone (832) 869-2921

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

3008 Blodgett St
Houston, TX 77004
Phone (281) 501-0551

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

Organizations & group practices 6

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": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1255045233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13007 FAIR BREEZE LN",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843621",
            "telephone_number": "832-729-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 MURPHY RD STE 101B",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775454",
            "telephone_number": "832-729-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECIL",
        "first_name": "JESSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1105769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.