Individual provider Active NPI

Dalene Joy Jones, MAMFC, PLPC, MFTA

  • Marriage & Family Therapist
  • Russell Springs, KY
National Provider Identifier
1548924939
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
291566 Issued in KY
Practice address
1504 Lakeway Dr
Russell Springs, KY 42642-4285
Phone
(270) 858-5377
NPI assigned
Oct 22, 2021
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 291566 KY Primary
Student in an Organized Health Care Education/Training Program 390200000X PLC8319 LA

Addresses

Primary practice location

1504 Lakeway Dr
Russell Springs, KY 42642-4285

Mailing address

61 Autumn Dr
Russell Springs, KY 42642-7423
Phone (225) 329-9724

Other practice location 1

1442 W Steve Wariner Dr
Russell Springs, KY 42642-5505
Phone (270) 858-5377

Other practice location 2

145 W Steve Wariner Dr
Russell Springs, KY 42642-4541
Phone (270) 858-5377

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

State licenses

LicenseStateTypeSpecialty
291566KYMDMarriage & Family Therapist
PLC8319LAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1548924939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 AUTUMN DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426427423",
            "telephone_number": "225-329-9724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 LAKEWAY DR",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426424285",
            "telephone_number": "270-858-5377"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1442 W Steve Wariner Dr",
            "address_purpose": "LOCATION",
            "city": "Russell Springs",
            "state": "KY",
            "postal_code": "426425505",
            "country_code": "US",
            "telephone_number": "270-858-5377",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 W Steve Wariner Dr",
            "address_purpose": "LOCATION",
            "city": "Russell Springs",
            "state": "KY",
            "postal_code": "426424541",
            "country_code": "US",
            "telephone_number": "270-858-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DALENE",
        "middle_name": "JOY",
        "name_prefix": "Mrs.",
        "credential": "MAMFC, PLPC, MFTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "291566",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "PLC8319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.