Active NPI
Cindy R Jackson, LPCI
- Professional Counselor
- Richardson, TX
National Provider Identifier
1477792323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 61359
- Practice address
- 2099 N Collins Blvd
Ste 100
Richardson, TX 75080-2698 - Phone
- (972) 437-4698
- NPI assigned
- Feb 17, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 61359 | TX | Primary |
Addresses
Primary practice location
2099 N Collins Blvd
Ste 100
Richardson, TX 75080-2698
Mailing address
2099 N Collins Blvd
Ste 100
Richardson, TX 75080-2698
Phone (972) 437-4698
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61359 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257984000000",
"number": "1477792323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2099 N COLLINS BLVD",
"address_2": "STE 100",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802698",
"telephone_number": "972-437-4698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2099 N COLLINS BLVD",
"address_2": "STE 100",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750802698",
"telephone_number": "972-437-4698"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "CINDY",
"middle_name": "R",
"credential": "LPCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2009-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "61359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.