Active NPI
Samuel Jones, PH.D., MFTA
- Marriage & Family Therapist
- Trussville, AL
National Provider Identifier
1033537477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- A110
- Practice address
- 3788 Creek Side Way
Trussville, AL 35173-3864 - Phone
- (205) 419-1811
- NPI assigned
- Apr 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | A110 | AL | Primary |
Addresses
Primary practice location
3788 Creek Side Way
Trussville, AL 35173-3864
Mailing address
3788 Creek Side Way
Trussville, AL 35173-3864
Phone (205) 419-1811
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110 | AL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SE Jones Therapy LLC | Marriage & Family Therapist | Current | Accepting new patients |
Locations
1976 Gadsden Hwy
Ste 145
Birmingham, AL 35235
Phone (205) 655-0026
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Birmingham, AL
- NPI 1376268011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396396800000",
"number": "1033537477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3788 CREEK SIDE WAY",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351733864",
"telephone_number": "205-419-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3788 CREEK SIDE WAY",
"city": "TRUSSVILLE",
"state": "AL",
"postal_code": "351733864",
"telephone_number": "205-419-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SAMUEL",
"name_prefix": "Dr.",
"credential": "PH.D., MFTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-04-02",
"last_updated": "2014-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "A110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Trussville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.