Individual provider Active NPI

Joshua Jones, PH.D., LCPC

  • Professional Counselor
  • Blue Hill, ME
National Provider Identifier
1447407663
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC3606 Issued in ME
Practice address
87 Ackley Farm Rd
Blue Hill, ME 04614-5600
Phone
(207) 664-8684
NPI assigned
Aug 19, 2008
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC3606 ME Primary

Addresses

Primary practice location

87 Ackley Farm Rd
Blue Hill, ME 04614-5600

Mailing address

87 Ackley Farm Rd
Blue Hill, ME 04614-5600
Phone (207) 664-8684

Other identifiers 2

IdentifierTypeStateIssuer
CC3606OtherMESTATE OF MAINE BD. OF PROF. & FINANCIAL REGULATION
218076OtherNATIONAL BOARD OF CERTIFIED COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CC3606MEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Sun Counseling LLC 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1447407663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 ACKLEY FARM RD",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046145600",
            "telephone_number": "207-664-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 ACKLEY FARM RD",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046145600",
            "telephone_number": "207-664-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MAINE BD. OF PROF. & FINANCIAL REGULATION",
            "identifier": "CC3606",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL BOARD OF CERTIFIED COUNSELORS",
            "identifier": "218076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.