Active NPI
Annette Elizabeth Jones, LPC
- Professional Counselor
- Wentworth, NC
National Provider Identifier
1013052471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6446
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6446 | NC | MD | Psychologist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6446 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6103447 | Medicaid | NC | |
| 83499 | Other | NCC |
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.