Brenda E Jones

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

6300 Edward Dr
Clinton, MD 20735-4135

Phone

(571) 241-6966

NPI assigned

Jan 10, 2017

Last updated

Jan 10, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Changing Minds/Changing Lives Home Management & Life Coaching Center

  • Point of Service
  • Clinton, MD
  • NPI 1255879680
  NPD (past) Authorized official

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

{
    "created_epoch": "1484006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484006400000",
    "number": "1497291793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 EDWARD DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354135",
            "telephone_number": "571-241-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 EDWARD DR",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354135",
            "telephone_number": "571-241-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRENDA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-10",
        "last_updated": "2017-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": null,
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "106S00000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dale B Johnson, M.D.
• Latasha Johnson
• Lucretia Aleather Johnson
• Sharita Johnson
• Vienna Marvette Johnson, MSW
• Chanel Jones, MSN-ED, CRNP, FNP-C
• Cheryl Denise Jones, B.S. PT
• Dominique Julia Jones
• Jeffrey Ezra Jones, PA
• Keandra Jones, APRN, CPNP-PC

• Counselor in Clinton, MD
• Providers in Clinton, MD by specialty
• Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.