Individual provider Active NPI

Thomas W Jones Jr., LPCC-S

  • Professional Counselor
  • Massillon, OH
National Provider Identifier
1376963348
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.1700329-SUPV Issued in OH
Practice address
1680 Nave Rd SE FL 1
Massillon, OH 44646-9604
Phone
(330) 830-3393
Fax
(234) 521-7091
NPI assigned
Apr 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.1700329-SUPV OH Primary

Addresses

Primary practice location

1680 Nave Rd SE FL 1
Massillon, OH 44646-9604

Mailing address

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

Other practice location 1

1711 Spring Ave NE
Canton, OH 44714-2349
Phone (330) 454-6800

Other identifiers 1

IdentifierTypeStateIssuer
0243720MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240109004126 OH Practitioner - Mental Health Counselor 2264883776 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1700329-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Commquest Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Commquest Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

200 E State St
Fl 3
Alliance, OH 44601
Phone (330) 821-8503

1207 W State St
Ste M
Alliance, OH 44601
Phone (330) 821-1995

625 Cleveland Ave NW
Canton, OH 44702
Phone (330) 445-2677

1711 Spring Ave NE
Canton, OH 44714
Phone (330) 454-6800

1680 Nave Rd SE
Fl 1
Massillon, OH 44646
Phone (330) 830-3393

1680 Nave Rd SE
Massillon, OH 44646
Phone (330) 830-3393

1680 Nave Rd SE
Fl 3
Massillon, OH 44646

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1397692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1376963348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLEVELAND AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447021805",
            "telephone_number": "330-455-0374",
            "fax_number": "330-453-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 NAVE RD SE FL 1",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469604",
            "telephone_number": "330-830-3393",
            "fax_number": "234-521-7091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1711 Spring Ave NE",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447142349",
            "country_code": "US",
            "telephone_number": "330-454-6800",
            "fax_number": "330-588-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "THOMAS",
        "middle_name": "W",
        "name_suffix": "Jr.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-17",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.1700329-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0243720",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.