Individual provider Active NPI

Adrea Janette Jones, LPC

  • Professional Counselor
  • Conway, AR
National Provider Identifier
1174811236
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1412101 Issued in AR
Practice address
4055 Seraph Dr Ste 5
Conway, AR 72034-3536
Phone
(501) 428-4010
Fax
(501) 214-6866
NPI assigned
Jul 11, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P1412101 AR Primary

Addresses

Primary practice location

4055 Seraph Dr Ste 5
Conway, AR 72034-3536

Mailing address

4940 Shepherds Creek Dr Apt 1
Conway, AR 72034-9255
Phone (501) 428-4010

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

LicenseStateTypeSpecialty
P1412101ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Arising Counseling, PLLC CurrentSince Feb 16, 2020 Accepting new patients

Locations

4055 Seraph Dr
Ste 5
Conway, AR 72034
Phone (501) 314-6088

930 Wingate St
Ste E11
Conway, AR 72034

2223 Washington Ave
#C
Conway, AR 72032
Phone (501) 339-3860

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.

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1174811236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 SHEPHERDS CREEK DR APT 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349255",
            "telephone_number": "501-428-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 SERAPH DR STE 5",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343536",
            "telephone_number": "501-428-4010",
            "fax_number": "501-214-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ADREA",
        "middle_name": "JANETTE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2024-05-15",
        "certification_date": "2022-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1412101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.