Individual provider Active NPI

Angela Kaye Jones, LMT MLDT

  • Counseling Psychologist
  • Pawley's Island, SC
National Provider Identifier
1205017852
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
7393 Issued in SC
Practice address
10023 Ocean Hwy # 17
Pawleys Island, SC 29585-7806
Phone
(843) 314-8002
NPI assigned
Nov 23, 2007
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 7393 SC Primary
Mechanotherapist 172M00000X 1373 SC

Addresses

Primary practice location

10023 Ocean Hwy # 17
Pawleys Island, SC 29585-7806

Mailing address

10023 Ocean Hwy # 17
Pawleys Island, SC 29585-7806
Phone (843) 902-7361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20240605003265 SC Practitioner - Mental Health Counselor 5193267193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10023 Ocean Hwy
Pawleys Island, SC 29585-7806
Phone (843) 314-8002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7393SCMDMental Health Counselor
1373SCMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Angela K Jones Ma LPC LLC CurrentSince Apr 22, 2024 Accepting new patients
Seaton Chiropractic Clinic CurrentSince Apr 22, 2024 Accepting new patients

Locations

10023 Ocean Hwy
Pawleys Island, SC 29585
Phone (843) 235-0008

10023 Ocean Hwy
#17
Pawleys Island, SC 29585
Phone (843) 314-8002

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": "1195776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1205017852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10023 OCEAN HWY # 17",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857806",
            "telephone_number": "843-902-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 OCEAN HWY # 17",
            "city": "PAWLEYS ISLAND",
            "state": "SC",
            "postal_code": "295857806",
            "telephone_number": "843-314-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANGELA",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "LMT MLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-23",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "7393",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "SC",
            "license": "1373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawley's Island, SC

Sources for this page

Verify at the official NPI Registry.