Active NPI
Kelly L Jones, LPC
- Mental Health Counselor
- Sewickley, PA
National Provider Identifier
1265663132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E0008020
- Practice address
- 414 Grant St
Sewickley, PA 15143-1231 - Phone
- (412) 741-7430
- Fax
- (412) 741-7430
- NPI assigned
- Jul 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC005667 | PA | |
| Mental Health Counselor | 101YM0800X | E0008020 | OH | Primary |
Addresses
Primary practice location
414 Grant St
Sewickley, PA 15143-1231
Mailing address
414 Grant St
Sewickley, PA 15143-1231
Phone (412) 741-7430
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 |
|---|---|---|---|
| E0008020 | OH | MD | Mental Health Counselor |
| PC005667 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1265663132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "414 GRANT ST",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431231",
"telephone_number": "412-741-7430",
"fax_number": "412-741-5171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 GRANT ST",
"city": "SEWICKLEY",
"state": "PA",
"postal_code": "151431231",
"telephone_number": "412-741-7430",
"fax_number": "412-741-7430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KELLY",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-27",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC005667",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0008020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sewickley, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.