Individual provider Active NPI

Annette Elizabeth Jones, LPC

  • Professional Counselor
  • Wentworth, NC
National Provider Identifier
1013052471
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6446 Issued in NC
Practice address
405 NC Hwy 65
Wentworth, NC 27375
Phone
(336) 342-8316
NPI assigned
Feb 21, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6446NCMDPsychologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6446 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

405 NC Hwy 65
Wentworth, NC 27375

Mailing address

405 NC Hwy 65
Wentworth, NC 27375
Phone (336) 342-8316

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
6103447MedicaidNC
83499OtherNCC

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2010.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1013052471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 NC HWY 65",
            "city": "WENTWORTH",
            "state": "NC",
            "postal_code": "27375",
            "telephone_number": "336-342-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 NC HWY 65",
            "city": "WENTWORTH",
            "state": "NC",
            "postal_code": "27375",
            "telephone_number": "336-342-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANNETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103447",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC",
            "identifier": "83499",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentworth, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.