Individual provider Active NPI

Cynthia Jewel Elledge, LPC, LCDC

  • Professional Counselor
  • McAllen, TX
National Provider Identifier
1417513433
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75692 Issued in TX
Practice address
1416 N Ware Rd
McAllen, TX 78501-3546
Phone
(956) 562-3790
NPI assigned
May 15, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 75692 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13125 TX

Addresses

Primary practice location

1416 N Ware Rd
McAllen, TX 78501-3546

Mailing address

PO Box 6173
McAllen, TX 78502-6173
Phone (956) 562-3790

Other practice location 1

216 N Fm 3167 Unit 6
Rio Grande City, TX 78582-7060
Phone (956) 844-3000

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
I20250915002094 TX Practitioner - Mental Health Counselor 5597268409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1416 N Ware Rd
McAllen, TX 78501-3546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13125TXMDAddiction (Substance Use Disorder) Counselor
75692TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

600 Congress Ave
Austin, TX 78701
Phone (281) 330-3059

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": "1557878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1417513433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6173",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785026173",
            "telephone_number": "956-562-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 N WARE RD",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785013546",
            "telephone_number": "956-562-3790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 N Fm 3167 Unit 6",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785827060",
            "country_code": "US",
            "telephone_number": "956-844-3000",
            "fax_number": "956-467-4812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLEDGE",
        "first_name": "CYNTHIA",
        "middle_name": "JEWEL",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-15",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75692",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "13125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.