Active NPI
Ann Louise Jones, M.A., L.P.
- Counseling Psychologist
- Shoreview, MN
National Provider Identifier
1174616247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP2866
- Practice address
- 521 Tanglewood Dr
Shoreview, MN 55126-2016 - Phone
- (651) 636-0107
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP2866 | MN | Primary |
Addresses
Primary practice location
521 Tanglewood Dr
Shoreview, MN 55126-2016
Mailing address
3065 Fairview Ave N
Roseville, MN 55113-1244
Phone (651) 636-0107
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-69195 | Other | MN | MEDICA |
| 89225 | Other | MN | HEALTH PARTNERS |
| 43D11JO | Other | MN | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
900 Long Lake Rd
Suite 320
New Brighton, MN 55112-6439
Phone (651) 482-9361
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP2866 | MN | MD | Counseling Psychologist |
| 2866 | MN | MD | Registered Nurse |
Interoperability endpoints
- ajones440122@direct.centracare.com
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 and National Provider Directory roles.
-
- Clinical Psychologist
- New Brighton, MN
- NPI 1669576278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174616247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3065 FAIRVIEW AVE N",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551131244",
"telephone_number": "651-636-0107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 TANGLEWOOD DR",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551262016",
"telephone_number": "651-636-0107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANN",
"middle_name": "LOUISE",
"credential": "M.A., L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP2866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "62-69195",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "89225",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "43D11JO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shoreview, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.