Nelson Jones IV, M.A.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1206145 Issued in SC

Practice address

1612 Rivers St
Greenwood, SC 29649-8513

Phone

(864) 227-1001

Fax

(864) 227-3619

NPI assigned

Mar 11, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362268800000",
    "number": "1548430176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 RIVERS ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498513",
            "telephone_number": "864-227-1001",
            "fax_number": "864-227-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 RIVERS ST",
            "city": "GREENWOOD",
            "state": "SC",
            "postal_code": "296498513",
            "telephone_number": "864-227-1001",
            "fax_number": "864-227-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NELSON",
        "name_suffix": "IV",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-11",
        "last_updated": "2013-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "1206145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "421504",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula R Johnson, MS LD RD
• Shanautica Johnson
• Skyla Nicole Johnson
• Bobby Jeremy Jones
• Julie Renee Jones, PHD, FACMG
• Samuel Jones
• Scot Heath Jones, M.D.
• Joseph W Logan MD PA
• Nancy B Joseph, RNC,WHNP
• Juniper Birthing Services, LLC

• Addiction (Substance Use Disorder) Counselor in Greenwood, SC
• Providers in Greenwood, SC by specialty
• Addiction (Substance Use Disorder) Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2013; 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.