Register

Registration is only required if you do not have a username. Please check your spam & junk mail folders to ensure you have not already received an email with a username and password. If you already have a username log in here

Each account must have a unique email address associated with it. Please contact us if you need multiple accounts with the same email address (i.e. related family members).

Please send insurance info and drivers license/ID to faxpronto@yahoo.com or fax to 866-394-0482 for benefit check. Consent to Treat and Bill Insurance: I am hereby signing on behalf of myself and/or on behalf of my children to authorize mental health and/or counseling services to be provided by Counseling Centers International (CCI) and/or its counselor/therapists/clinicians. I authorize billing of my insurance for these services.

Client Information

Legal First Name / Middle Initial

Last Name

Preferred First Name ( optional )

Date of Birth
( MM-DD-YYYY )

Gender
Male Female

Street Address

Street Address 2

City

State

ZIP Code

Cell Phone ( for Text Message Reminders )
Preferred Contact #

Home Phone
Preferred Contact #

Bill To Contact

Same as above Different

First Name or Organization Name / Middle Initial

Last Name

Street Address

Street Address 2

City

State

ZIP Code

Phone

Log in Details

( If client is a minor, the legal guardian must enter their email address below. )

Confirm Email

Username
Between 8 and 40 letters and numbers

Local Time / Timezone

Challenge Questions

( These will be used to retrieve your password. Answers must be between 4 and 30 characters, cannot contain any spaces. )

Question #1

Answer

Question #2

Answer

( If you feel you must write down your questions in order to remember them, make sure to keep it in a safe place. )

Terms and Policy

CCI Therapy Counseling Centers International

CCI Therapy is a multi-specialty team of practitioners that are ready to provide intakes, diagnosis, administer Psychiatric Services and CBT counseling by conducting individual and/or family sessions, and case managment. We collaborate with multidisciplinary treatment teams, case workers, advocacy centers etc., to ensure safety and compliance of those we serve. We are a H.U.B./HRSA certified facility providing services in the Rio Grande Valley with locations in Brownsville, Harlingen, and Pharr, along with Telemedicine.