Carmen P Jones

Primary specialty

CounselorTaxonomy code 101Y00000X

License

RC58303 Issued in WA

Practice address

10567 NE Sunrise Bluff LN
Bainbridge Island, WA 98110-4518

Phone

(509) 944-0545

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Summit Health Management PLLC

  • Professional Counselor
  • Gig Harbor, WA
  • NPI 1508467564
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488931200000",
    "number": "1053501197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 NE SUNRISE BLUFF LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104518",
            "telephone_number": "509-944-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10567 NE SUNRISE BLUFF LN",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981104518",
            "telephone_number": "509-944-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CARMEN",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2017-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "RC58303",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60637457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON COUNSELOR REGI",
            "identifier": "RC58303",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen Maxine Johnson, M.S.
• Stacy Elizabeth Johnson, PHARMD
• Dennis O Johnston, C.R.N.A.
• Austyn Joines, PT
• Joiviva Primary Care, PLLC
• Jon Jones
• Judith Rayl M.D. PH.D. Inc., PS
• Justin Paquette, DC
• Kaitlin Neste PLLC
• Kaiun Wellness, PLLC

• Counselor in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.