Individual provider Active NPI

Renee Holloway Jones

  • Counselor
  • Smithfield, NC
National Provider Identifier
1306269170
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A10195 Issued in NC
Practice address
15 Noble St
Smithfield, NC 27577-9300
Phone
(919) 938-9502
NPI assigned
Jan 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A10195 NC Primary

Addresses

Primary practice location

15 Noble St
Smithfield, NC 27577-9300

Mailing address

141 Aleah CT
Clayton, NC 27520-5854
Phone (919) 550-8953

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240418001035 NC Practitioner - Mental Health Counselor 9335365154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A10195NCMDCounselor
10195NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Family Services, Inc. CurrentSince Jul 1, 2013 Accepting new patients

Locations

714 Wilkins St
Smithfield, NC 27577
Phone (919) 938-9502

712 Wilkins St
Ste D
Smithfield, NC 27577
Phone (919) 207-7641

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": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390953600000",
    "number": "1306269170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 ALEAH CT",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205854",
            "telephone_number": "919-550-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 NOBLE ST",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779300",
            "telephone_number": "919-938-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RENEE",
        "middle_name": "HOLLOWAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2014-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A10195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.