Organization Active NPI

Lisa M. Jones, PH.D., LLC

  • Community/Behavioral Health Agency
  • North Platte, NE
National Provider Identifier
1114177920
Registry record updated Sep 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
486 Issued in NE
Legal business name
LISA M. JONES, PH.D., LLC
Practice address
221 W 2ND St
Suite 105
North Platte, NE 69101-3966
Phone
(308) 532-3000
Fax
(308) 532-4164
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2008

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

Authorized official

Name
Lisa M. Jones, PH.D.
Title
Licensed Clinical Psychologist
Phone
(308) 532-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 486 NE Primary

Addresses

Primary practice location

221 W 2ND St
Suite 105
North Platte, NE 69101-3966

Mailing address

221 W 2ND St
Suite 105
North Platte, NE 69101-3966
Phone (308) 532-3000

Other identifiers 1

IdentifierTypeStateIssuer
505765636-26MedicaidNE

National Provider Directory

National Provider Directory

Locations

221 W 2nd St
Ste 105
North Platte, NE 69101
Phone (308) 532-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1114177920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W 2ND ST",
            "address_2": "SUITE 105",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013966",
            "telephone_number": "308-532-3000",
            "fax_number": "308-532-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W 2ND ST",
            "address_2": "SUITE 105",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691013966",
            "telephone_number": "308-532-3000",
            "fax_number": "308-532-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA M. JONES, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "308-532-3000",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "505765636-26",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.