Active NPI
Sean B Jones, LPC
- Professional Counselor
- Waukesha, WI
National Provider Identifier
1215237607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2996-125
- Practice address
- 2607 N Grandview Blvd Ste 160G
Waukesha, WI 53188-1686 - Phone
- (262) 290-3337
- NPI assigned
- Nov 1, 2010
- Last updated
- Sep 1, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12639-131 | WI | |
| Professional Counselor | 101YP2500X | 2996125 | WI | |
| Professional Counselor | 101YP2500X | 2996-125 | WI | Primary |
Addresses
Primary practice location
2607 N Grandview Blvd Ste 160G
Waukesha, WI 53188-1686
Mailing address
W288S3848 Wern Farm Cir E
Waukesha, WI 53189-8919
Phone (145) 730-2004
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sean@execcounseling.com | Direct |
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 |
|---|---|---|---|
| 12639-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 2996-125 | WI | MD | Professional Counselor |
| 2996125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1215237607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W288S3848 WERN FARM CIR E",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531898919",
"telephone_number": "145-730-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 N GRANDVIEW BLVD STE 160G",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881686",
"telephone_number": "262-290-3337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SEAN",
"middle_name": "B",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "12639-131",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2996125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "2996-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sean@execcounseling.com",
"affiliation": "N",
"endpointDescription": "E-Mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2607 N Grandview Blvd Ste 160G",
"city": "Waukesha",
"state": "WI",
"country_code": "US",
"postal_code": "531881686",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.