Individual provider Active NPI

Jaime Jones, LCSW

  • Clinical Social Worker
  • Belton, TX
National Provider Identifier
1376577957
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
51074 Issued in TX
Practice address
114 E 6TH Ave
Belton, TX 76513-2651
Phone
(254) 598-0548
Fax
(877) 256-0723
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5104 KS
Clinical Social Worker 1041C0700X 51074 TX Primary

Addresses

Primary practice location

114 E 6TH Ave
Belton, TX 76513-2651

Mailing address

114 E 6TH Ave
Belton, TX 76513-2651
Phone (254) 598-0548

Other names 1

  • Jaime Montgomery Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110831000731 TX Practitioner - Clinical Social Worker 7416059142 Practice locations: Belton, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

114 E 6TH Ave
Belton, TX 76513-2651
Phone (254) 598-0548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3641KSMDSocial Worker
5104KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Behavioral Health and Consulting Clinical CurrentSince Feb 23, 2020 Accepting new patients
Progressive Behavioral Health, PLLC Clinical PastSince Apr 24, 2023 Accepting new patients
Chupik Counseling & Consulting PA Clinical Past Accepting new patients

Locations

114 E 6th Ave
Belton, TX 76513
Phone (254) 421-3896

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1376577957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132651",
            "telephone_number": "254-598-0548",
            "fax_number": "877-256-0723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132651",
            "telephone_number": "254-598-0548",
            "fax_number": "877-256-0723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JAIME",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "5104",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAIME",
            "last_name": "MONTGOMERY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belton, TX

Sources for this page

Verify at the official NPI Registry.