Individual provider Active NPI

Kimberly Monique Jones, LCPC

  • Professional Counselor
  • Randallstown, MD
National Provider Identifier
1235996331
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC17622 Issued in MD
Practice address
9026 Liberty Rd Ste 102
Randallstown, MD 21133-3900
Phone
(443) 352-7077
Fax
(443) 214-2999
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LGA3361 MD
Professional Counselor 101YP2500X PC019263 PA
Professional Counselor 101YP2500X PC-0012003 DE
Professional Counselor 101YP2500X LC17622 MD Primary

Addresses

Primary practice location

9026 Liberty Rd Ste 102
Randallstown, MD 21133-3900

Mailing address

7722 Altland Ave
Abbottstown, PA 17301-8978
Phone (443) 677-5720

Other practice location 1

18 Montgomery Dr Ste 10
North East, MD 21901-3817
Phone (443) 352-7077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20260324001907 MD Practitioner - Mental Health Counselor 8921582651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18 Montgomery Dr
Suite 10
North East, MD 21901-3817

9026 Liberty Rd
Suite 102
Randallstown, MD 21133-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGA3361MDMDAddiction (Substance Use Disorder) Counselor
PC-0012003DEMDProfessional Counselor
LC17622MDMDProfessional Counselor
PC019263PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nurturing Minds Health and Wellness LLC Mental Health PastSince Mar 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1235996331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 ALTLAND AVE",
            "city": "ABBOTTSTOWN",
            "state": "PA",
            "postal_code": "173018978",
            "telephone_number": "443-677-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9026 LIBERTY RD STE 102",
            "city": "RANDALLSTOWN",
            "state": "MD",
            "postal_code": "211333900",
            "telephone_number": "443-352-7077",
            "fax_number": "443-214-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Montgomery Dr Ste 10",
            "address_purpose": "LOCATION",
            "city": "North East",
            "state": "MD",
            "postal_code": "219013817",
            "country_code": "US",
            "telephone_number": "443-352-7077",
            "fax_number": "443-214-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIMBERLY",
        "middle_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LGA3361",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC019263",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC-0012003",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC17622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randallstown, MD

Sources for this page

Verify at the official NPI Registry.