Individual provider Active NPI

Rickey Jones Jr.

  • Mental Health Counselor
  • Clarksville, TN
National Provider Identifier
1528414539
Registry record updated Jul 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7283 Issued in TN
Practice address
3929 Lamar Dr Ste a
Clarksville, TN 37040-7354
Phone
(931) 494-6803
NPI assigned
May 9, 2016
Last updated
Jul 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7283 TN Primary

Addresses

Primary practice location

3929 Lamar Dr Ste a
Clarksville, TN 37040-7354

Mailing address

3929 Lamar Dr Ste a
Clarksville, TN 37040-7354
Phone (931) 494-6803

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Counseling Services LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

2292 Dalton Dr
Ste C
Clarksville, TN 37043
Phone (931) 494-6803

3929 Lamar Dr
Ste A
Clarksville, TN 37040
Phone (931) 494-6803

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": "1462752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1528414539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3929 LAMAR DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407354",
            "telephone_number": "931-494-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3929 LAMAR DR STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407354",
            "telephone_number": "931-494-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "RICKEY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-09",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "7283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; 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.