Individual provider Active NPI

Mika Jones, PH.D

  • Mental Health Counselor
  • Ashburnham, MA
National Provider Identifier
1417367160
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
69 Corey Hill Rd
Ashburnham, MA 01430-1263
Phone
(508) 360-3238
NPI assigned
May 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

69 Corey Hill Rd
Ashburnham, MA 01430-1263

Mailing address

250 Commercial St
Suite 200
Worcester, MA 01608-1726
Phone (508) 752-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240405003028 MA Practitioner - Mental Health Counselor 1557709797 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Artrelief LLC Current Accepting new patients
Artrelief LLC Mental Health CurrentSince Feb 25, 2024 Accepting new patients
Multicultural Wellness Center Inc PastSince Dec 7, 2015 Accepting new patients

Locations

151 Newton St
Waltham, MA 02453
Phone (617) 924-1285

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": "1399075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1417367160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COMMERCIAL ST",
            "address_2": "SUITE 200",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081726",
            "telephone_number": "508-752-4665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 COREY HILL RD",
            "city": "ASHBURNHAM",
            "state": "MA",
            "postal_code": "014301263",
            "telephone_number": "508-360-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MIKA",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-03",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashburnham, MA

Sources for this page

Verify at the official NPI Registry.