Cynthia Collins-Jackson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

74855 Issued in TX

Practice address

39 Village Hill Dr
Conroe, TX 77304-3525

Phone

(936) 520-9124

Fax

(936) 666-2291

NPI assigned

Mar 30, 2017

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Brand New You Counseling Center, LLC

  dba Brand New You Counseling

  • Community/Behavioral Health Agency
  • Conroe, TX
  • NPI 1730771882
  NPD

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1285166066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 VILLAGE HILL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043525",
            "telephone_number": "936-202-0596",
            "fax_number": "936-666-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 VILLAGE HILL DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043525",
            "telephone_number": "936-520-9124",
            "fax_number": "936-666-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS-JACKSON",
        "first_name": "CYNTHIA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "74855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• College Park RX LLC (College Park Pharmacy)
• College Park RX LLC (College Park Pharmacy)
• College Park Surgery Center
• Richard E. Collier Jr., M.D.
• Ruth Amanda Collier, P.A.-C.
• Cameron M Collins
• Ouida Marcia Collins, MD MPH
• Color Your Way Through Counseling & Consulting, PLLC
• Columbus Urgent Care PA (Conroe Urgent Care PA)
• Frank Lopez Colunga, MD

• Mental Health Counselor in Conroe, TX
• Providers in Conroe, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.