Individual provider Active NPI

Jia Michelle Leblanc, M. ED., LPC

  • Professional Counselor
  • Dickinson, TX
National Provider Identifier
1669093555
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
914 FM 517 Rd W Ste 215
Dickinson, TX 77539-3924
Phone
(979) 557-2295
NPI assigned
May 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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 Primary

Addresses

Primary practice location

914 FM 517 Rd W Ste 215
Dickinson, TX 77539-3924

Mailing address

20351 Highway 6 Ste B
Manvel, TX 77578-3882
Phone (979) 557-2295

Other identifiers 1

IdentifierTypeStateIssuer
000000000OtherTXNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL http://myscounseling.com/

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
I20240412001686 TX Practitioner - Mental Health Counselor 5890134696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Mys Counseling & Assessment PLLC Professional CurrentSince Mar 4, 2024 Accepting new patients

Locations

914 FM 517 Rd W
Ste 215
Dickinson, TX 77539
Phone (281) 450-7724

20351 Highway 6
Ste B
Manvel, TX 77578
Phone (281) 303-1198

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": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1669093555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20351 HIGHWAY 6 STE B",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775783882",
            "telephone_number": "979-557-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 FM 517 RD W STE 215",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775393924",
            "telephone_number": "979-557-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JIA",
        "middle_name": "MICHELLE",
        "credential": "M. ED., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000000000",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://myscounseling.com/",
            "affiliation": "N",
            "address_1": "20351 Highway 6 Ste B",
            "city": "Manvel",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775783882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dickinson, TX

Sources for this page

Verify at the official NPI Registry.