Active NPI
Bryan Bradley Jones, LAC
- Counselor
- Rogers, AR
National Provider Identifier
1205086279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A0710081
- Practice address
- 615 W Oak St
Rogers, AR 72756-5315 - Phone
- (479) 631-9996
- Fax
- (479) 631-1782
- NPI assigned
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | A0710081 | AR | Primary |
Addresses
Primary practice location
615 W Oak St
Rogers, AR 72756-5315
Mailing address
5537 Bleaux Ave
Springdale, AR 72762-0737
Phone (479) 872-5580
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
| License | State | Type | Specialty |
|---|---|---|---|
| A0710081 | AR | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222300800000",
"number": "1205086279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5537 BLEAUX AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727620737",
"telephone_number": "479-872-5580",
"fax_number": "479-872-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 W OAK ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727565315",
"telephone_number": "479-631-9996",
"fax_number": "479-631-1782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRYAN",
"middle_name": "BRADLEY",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-25",
"last_updated": "2008-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": "A0710081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.