MEDICARE: COLLIN MICHAEL JONES M.S., LPC-A, CAS, EM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146M00000X	Intermediate Emergency Medical Technician	746020	TX
2	101YP2500X	Professional Counselor	98061	TX

General Provider Information

NPI Number	:	1578331468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLIN MICHAEL JONES M.S., LPC-A, CAS, EM

Provider Business Mailing Address
First Line	:	21625 COUNTY ROAD 3749
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-5759
Country	:	US
Telephone Number	:	832-454-7991
Fax Number	:

Provider Business Practice Location Address
First Line	:	21625 COUNTY ROAD 3749
Second Line	:
City	:	CLEVELAND
State	:	TX
Zip	:	77327-5759
Country	:	US
Telephone Number	:	832-454-7991
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2023
Last Update Date	:	04/28/2025

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