Individual provider Active NPI

Katelyn R Jones, MSW, NMT LEVEL I

  • Mental Health Counselor
  • Phoenix, OR
National Provider Identifier
1063104990
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
745 N Rose St
Phoenix, OR 97535-5704
Phone
(541) 535-6239
NPI assigned
May 22, 2023
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

745 N Rose St
Phoenix, OR 97535-5704

Mailing address

931 Chevy Way
Medford, OR 97504-4127
Phone (541) 840-4086

Other practice location 1

301 W 1st St
Phoenix, OR 97535
Phone (541) 535-6239

Other names 1

  • Yoli R Jones Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica del Valle Family Health Care Center Inc. CurrentSince Aug 25, 2024 Accepting new patients

Locations

931 Chevy Way
Medford, OR 97504
Phone (541) 690-3555

745 N Rose St
Phoenix, OR 97535
Phone (541) 535-1526

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1063104990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 CHEVY WAY",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044127",
            "telephone_number": "541-840-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 N ROSE ST",
            "city": "PHOENIX",
            "state": "OR",
            "postal_code": "975355704",
            "telephone_number": "541-535-6239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W 1st St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "OR",
            "postal_code": "97535",
            "country_code": "US",
            "telephone_number": "541-535-6239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATELYN",
        "middle_name": "R",
        "credential": "MSW, NMT LEVEL I",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2023-05-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOLI",
            "last_name": "JONES",
            "middle_name": "R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Phoenix, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.