Active NPI
Katelyn R Jones, MSW, NMT LEVEL I
- Mental Health Counselor
- Phoenix, OR
National Provider Identifier
1063104990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 745 N Rose St
Phoenix, OR 97535-5704 - Phone
- (541) 535-6239
- NPI assigned
- May 22, 2023
- Last updated
- Aug 23, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica del Valle Family Health Care Center Inc. | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Phoenix, OR
- NPI 1811621899
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.