Individual provider Active NPI

Estela Eloisa Jones I, PRSS

  • Peer Specialist
  • Charleston, WV
National Provider Identifier
1205640158
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
23-971 Issued in WV
Practice address
210 Virginia St W
Charleston, WV 25302-2211
Phone
(681) 205-8585
Fax
(681) 205-8587
NPI assigned
Feb 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 23971 WV
Peer Specialist 175T00000X 23-971 WV Primary

Addresses

Primary practice location

210 Virginia St W
Charleston, WV 25302-2211

Mailing address

1514 Kanawha Blvd W
Charleston, WV 25387-2533
Phone (681) 205-8585

Other names 1

  • Ms. Estela E Jones Professional name

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
23-971WVMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1205640158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 KANAWHA BLVD W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253872533",
            "telephone_number": "681-205-8585",
            "fax_number": "681-205-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 VIRGINIA ST W",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253022211",
            "telephone_number": "681-205-8585",
            "fax_number": "681-205-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ESTELA",
        "middle_name": "ELOISA",
        "name_suffix": "I",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "23971",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "23-971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTELA",
            "last_name": "JONES",
            "middle_name": "E",
            "prefix": "MS.",
            "credential": "PRSS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Charleston, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.