Individual provider Active NPI

Jennifer J. Cain, L.P.C.

  • Professional Counselor
  • The Woodlands, TX
National Provider Identifier
1457496549
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
18778 Issued in TX
Practice address
504 Spring Hill Dr
Ste 360
The Woodlands, TX 77386-6027
Phone
(281) 239-4306
NPI assigned
Feb 20, 2007
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 18778 TX Primary

Addresses

Primary practice location

504 Spring Hill Dr
Ste 360
The Woodlands, TX 77386-6027

Mailing address

504 Spring Hill Dr
Ste 360
The Woodlands, TX 77386-6027
Phone (281) 239-4306

Other identifiers 1

IdentifierTypeStateIssuer
735ILCOtherTXBC BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 17, 2024 through Mar 17, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
18778TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Counseling Services, PLLC Professional Current Accepting new patients

Locations

719 Sawdust Rd
Ste 104
The Woodlands, TX 77380
Phone (832) 300-3058

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1457496549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SPRING HILL DR",
            "address_2": "STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773866027",
            "telephone_number": "281-239-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 SPRING HILL DR",
            "address_2": "STE 360",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773866027",
            "telephone_number": "281-239-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JENNIFER",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "18778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER NUMBER",
            "identifier": "735ILC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.