Active NPI
Jason Ray Jones, LPCC/LCADC
- Professional Counselor
- Prestonsburg, KY
National Provider Identifier
1528375565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 244746
- Practice address
- 104 S Front Ave
Prestonsburg, KY 41653-1614 - Phone
- (606) 886-8572
- Fax
- (606) 886-4433
- NPI assigned
- Sep 13, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 244746 | KY | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 164808 | KY |
Addresses
Primary practice location
104 S Front Ave
Prestonsburg, KY 41653-1614
Mailing address
104 S Front Ave
Prestonsburg, KY 41653-1614
Phone (606) 886-8572
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164808 | KY | MD | Addiction (Substance Use Disorder) Counselor |
| 244746 | KY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mountain Comprehensive Care Center, Inc. | Current | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Current | Accepting new patients | |
| Mountain Comprehensive Care Center, Inc. | Current | Accepting new patients |
Locations
1110 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345
838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345
104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857
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.
-
- Mental Health Counselor
- Prestonsburg, KY
- NPI 1760491674
-
- Federally Qualified Health Center (FQHC)
- Grayson, KY
- NPI 1518441260
-
- Federally Qualified Health Center (FQHC)
- Paintsville, KY
- NPI 1699386078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1528375565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 S FRONT AVE",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531614",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 S FRONT AVE",
"city": "PRESTONSBURG",
"state": "KY",
"postal_code": "416531614",
"telephone_number": "606-886-8572",
"fax_number": "606-886-4433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JASON",
"middle_name": "RAY",
"credential": "LPCC/LCADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-13",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "244746",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "164808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prestonsburg, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.