Provider Demographics
NPI:1568504199
Name:JONES, SAMMIE I (LPC)
Entity Type:Individual
Prefix:MS
First Name:SAMMIE
Middle Name:I
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21216 NORTHWEST FWY
Mailing Address - Street 2:SUITE 450
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-4695
Mailing Address - Country:US
Mailing Address - Phone:832-237-2673
Mailing Address - Fax:832-237-2676
Practice Address - Street 1:21216 NORTHWEST FWY
Practice Address - Street 2:SUITE 450
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-4695
Practice Address - Country:US
Practice Address - Phone:832-237-2673
Practice Address - Fax:832-237-2676
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16683101YP2500X
TX35126103TC0700X
TX34022103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX144176801Medicaid