Ford Chalon Jones Jr., LPC
Individual provider Active NPI Professional Counselor · Spicewood, TX
NPI 1245629633 · NPPES record last updated Jul 14, 2023
Key facts
- NPI
- 1245629633
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 68507 (TX)
- Practice address
- 22009 Kyle Dr
Spicewood, TX 78669-2221 - Phone
- (512) 790-1816
- NPI assigned
- Jan 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
9568 W 56TH PL
Arvada, CO 80002-2108
PO Box
Suite 712260
Salt Lake City, UT 84171
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260406001016 | CO | Practitioner - Mental Health Counselor | 8123593498 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68507 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simplejones PLLC | Professional | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68507 | TX | Yes |
Addresses
Primary practice location
22009 Kyle Dr
Spicewood, TX 78669-2221
Mailing address
22009 Kyle Dr
Spicewood, TX 78669-2221
Phone (512) 790-1816
Other names
- Mr. Shay Jones
Other providers in Spicewood, TX
- Hill Country Elder Care, LLC
- Bradley Hubbard
- Patrick M Jaeckle
- Becky Lyn James
- Michael Bruce Johnson
- Sandy Jost
- Sydney Rose Keim
- Courtney Farrior Kerzner
- Tejaswi Khadka
- James Harvey Kimber
All providers in Spicewood, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.