Individual provider Active NPI

Gabriele Denise Jones, PH.D.

  • Clinical Psychologist
  • Pinehurst, NC
National Provider Identifier
1396814521
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2716 Issued in NC
Practice address
5 Regional Cir Ste C
Pinehurst, NC 28374-9796
Phone
(910) 255-1000
Fax
(910) 255-1045
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2716 NC Primary

Addresses

Primary practice location

5 Regional Cir Ste C
Pinehurst, NC 28374-9796

Mailing address

75 Trotter Hills Cir
PO Box 4600
Pinehurst, NC 28374-7930
Phone (910) 255-1000

Other identifiers 3

IdentifierTypeStateIssuer
045VPOtherNCBCBS PIN
6000809MedicaidNC
Q41321B777OtherNCMEDICARE IND PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120113000008 NC Practitioner - Clinical Psychologist 7416124557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anchor Psychological and Counseling Services PLLCGroup PAC ID 7517096290, 14 clinicians

Practice addresses (Care Compare)

16581 US Hwy 17
Suite 600
Hampstead, NC 28443-7451
Phone (910) 270-9995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Behavioral Care, PA Current Accepting new patients
Anchor Psychological & Counseling Services PLLC Clinical CurrentSince Jul 15, 2019 Accepting new patients
Jennifer a. Hanley, DNP, PA PastSince Oct 1, 2012 Accepting new patients

Locations

16581 US Highway 17
Ste 600
Hampstead, NC 28443
Phone (910) 270-9995

1442 Military Cutoff Rd
Unit B
Wilmington, NC 28403
Phone (252) 822-4150

Interoperability endpoints

  • Direct secure messaging: gabrielle.jones@direct.anchorpsychological.nchie.net

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1396814521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 TROTTER HILLS CIR",
            "address_2": "PO BOX 4600",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747930",
            "telephone_number": "910-255-1000",
            "fax_number": "910-255-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REGIONAL CIR STE C",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749796",
            "telephone_number": "910-255-1000",
            "fax_number": "910-255-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GABRIELE",
        "middle_name": "DENISE",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "2716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "045VP",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000809",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IND PTAN",
            "identifier": "Q41321B777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.