Active NPI
Phyllis Kay Jones, LPC, NCC, CADC-M
- Professional Counselor
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401013355
- Practice address
- 29828 Chelmsford Rd
Southfield, MI 48076-5703 - Phone
- (248) 215-2658
- NPI assigned
- Dec 12, 2012
- Last updated
- Nov 21, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6401013355 | MI | Primary |
Addresses
Primary practice location
29828 Chelmsford Rd
Southfield, MI 48076-5703
Mailing address
29828 Chelmsford Rd
Southfield, MI 48076-5703
Phone (248) 215-2658
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316282742 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6401013355 | MI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Current | Accepting new patients |
Locations
31000 Lahser Rd
Ste 5
Beverly Hills, MI 48025
Phone (248) 644-2175
7333 Triangle Dr
Sterling Hts, MI 48314
Phone (248) 686-3347
1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511222400000",
"number": "1316282742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29828 CHELMSFORD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765703",
"telephone_number": "248-215-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29828 CHELMSFORD RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480765703",
"telephone_number": "248-215-2658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PHYLLIS",
"middle_name": "KAY",
"credential": "LPC, NCC, CADC-M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2017-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401013355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1316282742",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.