Active NPI
Kendall Jones
- Mental Health Counselor
- Vancouver, WA
National Provider Identifier
1386197028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH61169398
- Practice address
- 11818 SE Mill Plain Blvd Ste 311a
Vancouver, WA 98684-5091 - Phone
- (360) 524-4711
- NPI assigned
- Jul 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LH61169398 | WA | |
| Mental Health Counselor | 101YM0800X | LH61169398 | WA | Primary |
Addresses
Primary practice location
11818 SE Mill Plain Blvd Ste 311a
Vancouver, WA 98684-5091
Mailing address
15640 NE Fourth Plain Blvd Ste 106 PMB 11
Vancouver, WA 98682-5141
Other names 1
- Mr. Kendall Jones
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
| License | State | Type | Specialty |
|---|---|---|---|
| LH61169398 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660003200000",
"number": "1386197028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15640 NE FOURTH PLAIN BLVD STE 106 PMB 11",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986825141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11818 SE MILL PLAIN BLVD STE 311A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986845091",
"telephone_number": "360-524-4711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KENDALL",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-07-29",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH61169398",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH61169398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENDALL",
"last_name": "JONES",
"prefix": "MR.",
"credential": "LMHC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.