Active NPI
Robert Lloyd Jones, M.S.
- Addiction (Substance Use Disorder) Counselor
- Green Bay, WI
National Provider Identifier
1568683670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 14060131
- Practice address
- 2129 South Oneida Street
Suite 115
Green Bay, WI 54304 - Phone
- (920) 661-0884
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 14060131 | WI | Primary |
| Mental Health Counselor | 101YM0800X | 682125 | WI |
Addresses
Primary practice location
2129 South Oneida Street
Suite 115
Green Bay, WI 54304
Mailing address
2129 South Oneida Street
Suite 115
Green Bay, WI 54304
Phone (920) 661-0884
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CASC2865 | Other | MN | CERT. ADDICTIONS SPEC. |
| LPC682-125 | Other | WI | LICENSED PROF. COUNSELOR |
| CADCD14060 | Other | WI | CERT. ALCOL & DRUG |
| 39278600 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14060131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 682125 | WI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207785600000",
"number": "1568683670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 SOUTH ONEIDA STREET",
"address_2": "SUITE 115",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54304",
"telephone_number": "920-661-0884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2129 SOUTH ONEIDA STREET",
"address_2": "SUITE 115",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "54304",
"telephone_number": "920-661-0884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ROBERT",
"middle_name": "LLOYD",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2008-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "14060131",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "682125",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERT. ADDICTIONS SPEC.",
"identifier": "CASC2865",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PROF. COUNSELOR",
"identifier": "LPC682-125",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERT. ALCOL & DRUG",
"identifier": "CADCD14060",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39278600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.