Individual provider Active NPI

Lavita Dianne Rinchelle Jones, LCSW-S, CCTP II

  • Clinical Social Worker
  • Rockwall, TX
National Provider Identifier
1538755020
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24958 Issued in TX
Practice address
609 S Goliad St Unit 301
Rockwall, TX 75087-1912
Phone
(469) 338-2338
Fax
(855) 795-1942
NPI assigned
Dec 18, 2020
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 104242 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 24958 TX
Adolescent and Children Mental Health Clinic/Center 261QM0855X 24958 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 104242 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X 24958 TX
Mental Health Counselor 101YM0800X 24958 TX
Mental Health Counselor 101YM0800X 104242 CA
Mental Health Counselor 101YM0800X TPSW1951 FL
Clinical Social Worker 1041C0700X TPSW1591 FL
Clinical Social Worker 1041C0700X 104242 CA
Clinical Social Worker 1041C0700X 24958 TX Primary

Addresses

Primary practice location

609 S Goliad St Unit 301
Rockwall, TX 75087-1912

Mailing address

609 S Goliad St Unit 301
Rockwall, TX 75087-1912
Phone (469) 338-2338

Other practice location 1

7901 4th St N Ste 300
St Petersburg, FL 33702-4399
Phone (469) 338-2338

Other practice location 2

2108 N St Ste N
Sacramento, CA 95816-5712
Phone (469) 338-2338

Other practice location 3

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone (469) 338-2338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210105002000 TX Practitioner - Clinical Social Worker 8325451602 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

528 Bedford Falls LN
Rockwall, TX 75087-8428
Phone (469) 338-2338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPSW1951FLMDMental Health Counselor
TPSW1591FLMDClinical Social Worker
24958TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aoc Alpha Omega Counseling and Consulting Services, PLLC Addiction (Substance Use Disorder) CurrentSince Feb 11, 2021 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 19, 2021 Accepting new patients

Locations

2108 N St
Sacramento, CA 95816
Phone (951) 719-7050

7901 4th St N
Ste 300
St Petersburg, FL 33702
Phone (305) 204-3616

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

5900 Balcones Dr
Ste 100
Austin, TX 78731

1001 N Goliad St
Rockwall, TX 75087
Phone (469) 338-2338

506 N Goliad St
Ste 200
Rockwall, TX 75087
Phone (469) 546-5292

609 S Goliad St
Unit 301
Rockwall, TX 75087
Phone (469) 338-2338

Organizations & group practices 2

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": "1608249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1538755020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S GOLIAD ST UNIT 301",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750871912",
            "telephone_number": "469-338-2338",
            "fax_number": "855-795-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 S GOLIAD ST UNIT 301",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750871912",
            "telephone_number": "469-338-2338",
            "fax_number": "855-795-1942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 4th St N Ste 300",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337024399",
            "country_code": "US",
            "telephone_number": "469-338-2338",
            "fax_number": "855-795-1942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2108 N St Ste N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958165712",
            "country_code": "US",
            "telephone_number": "469-338-2338",
            "fax_number": "855-795-1942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5900 Balcones Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787314298",
            "country_code": "US",
            "telephone_number": "469-338-2338",
            "fax_number": "855-795-1942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LAVITA",
        "middle_name": "DIANNE RINCHELLE",
        "credential": "LCSW-S, CCTP II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-18",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "104242",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "TX",
            "license": "24958",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": "24958",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "104242",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "24958",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "24958",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "104242",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "TPSW1951",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "TPSW1591",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "104242",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.