Active NPI
Kristen Peele Jones
- Clinical Social Worker
- Raleigh, NC
National Provider Identifier
1467950642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012280
- Practice address
- 4601 Lake Boone TRL Ste 1B
Raleigh, NC 27607-7503 - Phone
- (919) 781-1800
- Fax
- (919) 781-1899
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C012280 | NC | Primary |
Addresses
Primary practice location
4601 Lake Boone TRL Ste 1B
Raleigh, NC 27607-7503
Mailing address
4601 Lake Boone TRL Ste 1B
Raleigh, NC 27607-7503
Phone (919) 781-1800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C012280 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587772800000",
"number": "1467950642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 LAKE BOONE TRL STE 1B",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077503",
"telephone_number": "919-781-1800",
"fax_number": "919-781-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 LAKE BOONE TRL STE 1B",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077503",
"telephone_number": "919-781-1800",
"fax_number": "919-781-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KRISTEN",
"middle_name": "PEELE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2020-04-25",
"certification_date": "2020-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012280",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.