Active NPI
Rebecca Jones, LCDC-I
- Addiction (Substance Use Disorder) Counselor
- Granbury, TX
National Provider Identifier
1023378551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 56938
- Practice address
- 2111 W Highway 377
Granbury, TX 76048-5627 - Phone
- (817) 573-6002
- Fax
- (817) 573-6009
- NPI assigned
- May 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 56938 | TX | Primary |
Addresses
Primary practice location
2111 W Highway 377
Granbury, TX 76048-5627
Mailing address
2111 W Highway 377
Granbury, TX 76048-5627
Phone (817) 573-6002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148686201 | Medicaid | TX |
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 |
|---|---|---|---|
| 56938 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1023378551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 W HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485627",
"telephone_number": "817-573-6002",
"fax_number": "817-573-6009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 W HIGHWAY 377",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485627",
"telephone_number": "817-573-6002",
"fax_number": "817-573-6009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "REBECCA",
"credential": "LCDC-I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-17",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "56938",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "148686201",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.