Individual provider Active NPI

Eva Jones, LCMHC 12376

  • Mental Health Counselor
  • Raeford, NC
National Provider Identifier
1174983829
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12376 Issued in NC
Practice address
2295 N Horace Walters Rd
Raeford, NC 28376-7587
Phone
(910) 824-2663
NPI assigned
Feb 23, 2016
Last updated
May 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 12376 NC Primary

Addresses

Primary practice location

2295 N Horace Walters Rd
Raeford, NC 28376-7587

Mailing address

2295 N Horace Walters Rd
Raeford, NC 28376-7587
Phone (910) 824-2663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260504007576 NC Practitioner - Mental Health Counselor 8729556105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

535 Mack Ave
Kingsley, MI 49649-9220

PO Box
Phoenix, AZ 85072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12376NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joy Journey Professional Counseling & Life Coach, ,PLLC Professional CurrentSince Aug 11, 2019 Accepting new patients

Locations

2295 N Horace Walters Rd
Raeford, NC 28376
Phone (910) 824-2663

Organizations & group practices 2

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": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1174983829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 N HORACE WALTERS RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767587",
            "telephone_number": "910-824-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 N HORACE WALTERS RD",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283767587",
            "telephone_number": "910-824-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EVA",
        "credential": "LCMHC 12376",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-23",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raeford, NC

Sources for this page

Verify at the official NPI Registry.