Individual provider Active NPI

Deborah E Jones, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort George G Meade, MD
National Provider Identifier
1437620630
Registry record updated May 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R171943 Issued in MD
Practice address
2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081
Phone
(301) 677-8112
NPI assigned
Dec 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R171943 MD Primary

Addresses

Primary practice location

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

Mailing address

4409 N Charles St
Baltimore, MD 21218-1010
Phone (410) 960-9488

Other practice location 1

PO Box 110804
Tacoma, WA 98411-0804
Phone (360) 539-8899

Other practice location 2

4409 N Charles St
Baltimore, MD 21218-1010
Phone (410) 960-9488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191112000318 MD Practitioner - Nurse Practitioner 3870817216 Reassigns benefits to 1 organization
I20251120002783 WA Practitioner - Nurse Practitioner 3870817216 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

2 Hamill Rd
Suite 410
Baltimore, MD 21210-1839
Phone (410) 504-1575

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jul 14, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 1, 2026 Accepting new patients
Deborah E. Jones Psychiatry & Mental Wellness, PLLC Psychiatric/Mental Health CurrentSince Nov 2, 2025 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 1, 2026 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 1, 2026 Accepting new patients
Optum Care Washington PLLC CurrentSince Jan 1, 2026 Accepting new patients
Lucid Living, LLC. PastSince Mar 11, 2025 Accepting new patients

Locations

2 Hamill Rd
Ste 410
Baltimore, MD 21210
Phone (410) 504-1575

5410 Lynx Ln
Ste 285
Columbia, MD 21044
Phone (410) 740-3240

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1145 Broadway
Seattle, WA 98122

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Organizations & group practices 8

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": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1437620630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 N CHARLES ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212181010",
            "telephone_number": "410-960-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "city": "FORT GEORGE G MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "301-677-8112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 110804",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984110804",
            "country_code": "US",
            "telephone_number": "360-539-8899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4409 N Charles St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212181010",
            "country_code": "US",
            "telephone_number": "410-960-9488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R171943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort George G Meade, MD

Sources for this page

Verify at the official NPI Registry.