JENNIFER LEIGH SPILLMAN (PSYD) – Professional Counselor, NPI 1073720876

JENNIFER LEIGH SPILLMAN (PSYD) is a healthcare provider. based in Conroe, Texas. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 39115 (TX). The NPI Number for JENNIFER LEIGH SPILLMAN (PSYD) is 1073720876

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER LEIGH SPILLMAN (PSYD)
NPI
1073720876
Phone
(281) 467-4909
Address
PO BOX 2196
Enumeration Date
17 May 2007
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9365216100
Graduation Year
2021 (5 years ago)
PAC ID
1658729504
Group Practice PAC ID
5991754772
Professional Enrollment ID
I20231202000613
Address ID
TX773041990CO233XXSXXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

Provider Addresses for JENNIFER LEIGH SPILLMAN (PSYD)

  • PO BOX 2196

    CONROE, TX 773052196

    Phone: (281) 467-4909

    Type: Mailing

  • PO BOX 3067

    CONROE, TX 773053067

    Phone: (936) 521-6100

    Fax: (936) 760-2898

    Type: Mailing

  • 233 SGT ED HOLCOMB BLVD S

    CONROE, TX 773041990

    Phone: (936) 521-6100

    Fax: (936) 760-2898

    Type: Location

  • Riverwood Court, Conroe, Montgomery County, Texas, 77301, United States

    CONROE, TX 773042811

    Phone: (936) 521-6300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231202000613IClinical PsychologistTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77305)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991754772View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerFL
Nurse PractitionerTX
Clinical Social WorkerTX
Mental Health CounselorTX
P S Y C H I A T R YTX
Clinical Social WorkerTX
-TX

Reviews

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Frequently asked questions

What is JENNIFER LEIGH SPILLMAN (PSYD)'s NPI number?
JENNIFER LEIGH SPILLMAN (PSYD)'s NPI is 1073720876 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JENNIFER LEIGH SPILLMAN (PSYD)?
For scheduling context, JENNIFER LEIGH SPILLMAN (PSYD) is shown as active in the registry.
What area of care is associated with JENNIFER LEIGH SPILLMAN (PSYD)?
JENNIFER LEIGH SPILLMAN (PSYD)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JENNIFER LEIGH SPILLMAN (PSYD)?
Travel planning: use Conroe, Texas as the reference point for JENNIFER LEIGH SPILLMAN (PSYD), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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