Organization Active NPI

Back Porch Therapy PLLC

  • Adult Mental Health Clinic/Center
  • McQueeney, TX
National Provider Identifier
1730730052
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BACK PORCH THERAPY PLLC
Doing business as
Back Porch Therapy PLLC
Practice address
435 Woodcreek Cir
MC Queeney, TX 78123-3244
Phone
(903) 515-1474
NPI assigned
Sep 27, 2019
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Jocelyn Christine Sipes, LCSWNPI 1407348030
Title
Psychotherapist/Owner
Phone
(903) 515-1474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

435 Woodcreek Cir
MC Queeney, TX 78123-3244

Mailing address

435 Woodcreek Cir
MC Queeney, TX 78123-3244
Phone (903) 515-1474

Other names 1

  • Back Porch Therapy PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200721002424 TX Part B Supplier - Clinic/Group Practice 4486078664 Receives reassigned benefits from 1 practitioner
Practice locations: MC Queeney, TX

National Provider Directory

National Provider Directory

Locations

2104 W Grande Blvd
Ste 200
Tyler, TX 75703
Phone (903) 330-9592

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1730730052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 WOODCREEK CIR",
            "city": "MC QUEENEY",
            "state": "TX",
            "postal_code": "781233244",
            "telephone_number": "903-515-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 WOODCREEK CIR",
            "city": "MC QUEENEY",
            "state": "TX",
            "postal_code": "781233244",
            "telephone_number": "903-515-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK PORCH THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-27",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/OWNER",
        "authorized_official_telephone_number": "903-515-1474",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back Porch Therapy PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McQueeney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.