Active NPI
Keith Jones
- Behavior Technician
- Carmel, IN
National Provider Identifier
1174403943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 22-199896
- Practice address
- 12354 Hancock St
Carmel, IN 46032-5807 - Phone
- (317) 503-1296
- Fax
- (317) 810-1439
- NPI assigned
- Sep 3, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 22-199896 | IN | Primary |
Addresses
Primary practice location
12354 Hancock St
Carmel, IN 46032-5807
Mailing address
5249 Telford CT
Indianapolis, IN 46254-3722
Phone (317) 503-1296
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-199896 | IN | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1174403943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5249 TELFORD CT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462543722",
"telephone_number": "317-503-1296",
"fax_number": "317-810-1439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12354 HANCOCK ST",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325807",
"telephone_number": "317-503-1296",
"fax_number": "317-810-1439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "IN",
"license": "22-199896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carmel, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.