Charles Edward Jones, LICENSE PROFESSIONAL

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006021 Issued in GA

Practice address

114 East Hall St
Thomson, GA 30824

Phone

(706) 597-1777

Fax

(706) 597-0955

NPI assigned

Sep 9, 2009

Last updated

Feb 1, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Chance Counseling Services, LLC

  • Professional Counselor
  • Thomson, GA
  • NPI 1790040822
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296518400000",
    "number": "1417280439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1113",
            "address_2": "114 EAST HALL ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "30824",
            "telephone_number": "706-597-1777",
            "fax_number": "706-597-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 EAST HALL ST",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "30824",
            "telephone_number": "706-597-1777",
            "fax_number": "706-597-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARLES",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LICENSE PROFESSIONAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2011-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC001652",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000606317B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dexter Devine Jones, PHARMD
• Nikeyia Jones
• Santannie N Jones
• William M Jopling, D.M.D.
• JRB Futures LLC (Mt. Pleasant Alternative Care)

• Professional Counselor in Thomson, GA
• Providers in Thomson, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.