Individual provider Active NPI

Erin Kathleen Jones, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cape Girardeau, MO
National Provider Identifier
1356123749
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023043287 Issued in MO
Practice address
106 S Farrar Dr Ste 109
Cape Girardeau, MO 63701-4912
Phone
(573) 334-7055
Fax
(573) 334-7961
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 2017023123 MO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023043287 MO Primary

Addresses

Primary practice location

106 S Farrar Dr Ste 109
Cape Girardeau, MO 63701-4912

Mailing address

106 S Farrar Dr Ste 109
Cape Girardeau, MO 63701-4912
Phone (573) 334-7055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231121002714 MO Practitioner - Nurse Practitioner 7517315088 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2017023123MOMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling Center CurrentSince Nov 6, 2023 Accepting new patients

Locations

402 S Silver Springs Rd
Cpe Girardeau, MO 63703
Phone (573) 334-1100

309 Garrett St
Fredericktown, MO 63645
Phone (573) 783-4104

120 N Jackson St
Perryville, MO 63775
Phone (573) 547-8305

820 Park Dr
Ste Genevieve, MO 63670
Phone (573) 883-7407

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1356123749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S FARRAR DR STE 109",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014912",
            "telephone_number": "573-334-7055",
            "fax_number": "573-334-7961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S FARRAR DR STE 109",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014912",
            "telephone_number": "573-334-7055",
            "fax_number": "573-334-7961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERIN",
        "middle_name": "KATHLEEN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2017023123",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023043287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.