Individual provider Active NPI

Madeline Elizabeth Jones, M.ED, ED.S, NCC, APC

  • Professional Counselor
  • Fort Irwin, CA
National Provider Identifier
1407623705
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
APC008817 Issued in GA
Practice address
4500 Yorktown St Unit a
Fort Irwin, CA 92310-1921
Phone
(979) 229-1436
NPI assigned
Dec 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPCC.0021117 CO
Professional Counselor 101YP2500X APC008817 GA Primary

Addresses

Primary practice location

4500 Yorktown St Unit a
Fort Irwin, CA 92310-1921

Mailing address

4500 Yorktown St Unit a
Fort Irwin, CA 92310-1921
Phone (979) 229-1436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPCC.0021117COMDProfessional Counselor
APC008817GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heal Atl Counseling & Wellness Current Accepting new patients

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": "1701820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1407623705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 YORKTOWN ST UNIT A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101921",
            "telephone_number": "979-229-1436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 YORKTOWN ST UNIT A",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101921",
            "telephone_number": "979-229-1436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MADELINE",
        "middle_name": "ELIZABETH",
        "credential": "M.ED, ED.S, NCC, APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPCC.0021117",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC008817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Irwin, CA

Sources for this page

Verify at the official NPI Registry.