Individual provider Active NPI

Brian Montrell Jones, LPC

  • Professional Counselor
  • Hampton, VA
National Provider Identifier
1184196222
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007937 Issued in VA
Practice address
2204 Executive Dr Ste a
Hampton, VA 23666-6602
Phone
(757) 644-3989
Fax
(866) 813-7798
NPI assigned
Dec 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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 0701007937 VA Primary

Addresses

Primary practice location

2204 Executive Dr Ste a
Hampton, VA 23666-6602

Mailing address

125 Navajo TRL
Portsmouth, VA 23701-2429
Phone (803) 290-3060

Other identifiers 1

IdentifierTypeStateIssuer
1013158963MedicaidVA

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007937VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Circle, Incorporated Past Accepting new patients
Defining Purpose Counseling and Consulting LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1184196222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 NAVAJO TRL",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237012429",
            "telephone_number": "803-290-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 EXECUTIVE DR STE A",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236666602",
            "telephone_number": "757-644-3989",
            "fax_number": "866-813-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRIAN",
        "middle_name": "MONTRELL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-31",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013158963",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2018; 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.