Individual provider Active NPI

La Chandra Cyntrise Bartholomew-Jones, LPC, NCC, MAC, AADC

  • Counselor
  • Jacksonville, AL
National Provider Identifier
1073089686
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
3757 Issued in AL
Practice address
8240 Al Highway 204
Jacksonville, AL 36265-5605
Phone
(770) 843-9557
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3757 AL Primary

Addresses

Primary practice location

8240 Al Highway 204
Jacksonville, AL 36265-5605

Mailing address

8240 Al Highway 204
Jacksonville, AL 36265-5605
Phone (770) 843-9557

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

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1073089686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8240 AL HIGHWAY 204",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655605",
            "telephone_number": "770-843-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8240 AL HIGHWAY 204",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362655605",
            "telephone_number": "770-843-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW-JONES",
        "first_name": "LA CHANDRA",
        "middle_name": "CYNTRISE",
        "credential": "LPC, NCC, MAC, AADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.