Active NPI
Robert Dawson Jones, LPC
- Mental Health Counselor
- Bryan, TX
National Provider Identifier
1285642579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12645
- Practice address
- 1504 S Texas Ave
Bryan, TX 77802-1015 - Phone
- (979) 822-6467
- Fax
- (979) 821-9448
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12645 | TX | Primary |
Addresses
Primary practice location
1504 S Texas Ave
Bryan, TX 77802-1015
Mailing address
1504 S Texas Ave
P.O. Box 4588
Bryan, TX 77805-4588
Phone (979) 822-6467
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 |
|---|---|---|---|
| 12645 | TX | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285642579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1504 S TEXAS AVE",
"address_2": "P.O. BOX 4588",
"city": "BRYAN",
"state": "TX",
"postal_code": "778054588",
"telephone_number": "979-822-6467",
"fax_number": "979-821-9448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 S TEXAS AVE",
"city": "BRYAN",
"state": "TX",
"postal_code": "778021015",
"telephone_number": "979-822-6467",
"fax_number": "979-821-9448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ROBERT",
"middle_name": "DAWSON",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "12645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.