Individual provider Active NPI

Jona M Keeton, LMFT, PMHCNS-BC

  • Marriage & Family Therapist
  • Ridgeland, MS
National Provider Identifier
1306947627
Registry record updated Dec 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T0203 Issued in MS
Practice address
361 Towne Center PL
Suite 1300
Ridgeland, MS 39157-4869
Phone
(601) 977-9353
Fax
(601) 977-9422
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X T0203 MS Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X R533084 MS

Addresses

Primary practice location

361 Towne Center PL
Suite 1300
Ridgeland, MS 39157-4869

Mailing address

361 Towne Center PL
Suite 1300
Ridgeland, MS 39157-4869
Phone (601) 977-9353

Other identifiers 1

IdentifierTypeStateIssuer
20 520558LOtherMSTAX ID FOR A BRIDGE TO RECOVERY

Other names 1

  • Mrs. Jona Keeton Other name

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

LicenseStateTypeSpecialty
T0203MSMDMarriage & Family Therapist
R533084MSMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1306947627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 TOWNE CENTER PL",
            "address_2": "SUITE 1300",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574869",
            "telephone_number": "601-977-9353",
            "fax_number": "601-977-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 TOWNE CENTER PL",
            "address_2": "SUITE 1300",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574869",
            "telephone_number": "601-977-9353",
            "fax_number": "601-977-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETON",
        "first_name": "JONA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LMFT, PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T0203",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MS",
            "license": "R533084",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID FOR A BRIDGE TO RECOVERY",
            "identifier": "20 520558L",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONA",
            "last_name": "KEETON",
            "prefix": "MRS.",
            "credential": "PASTORAL COUNSELOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.