Active NPI
Douglas Wayne Jones, LMHC
- Mental Health Counselor
- Avon, IN
National Provider Identifier
1568958338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 39000187A
- Practice address
- 6655 E US Highway 36
Avon, IN 46123 - Phone
- (888) 714-1927
- NPI assigned
- Jul 5, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39000187A | IN | Primary |
Addresses
Primary practice location
6655 E US Highway 36
Avon, IN 46123
Mailing address
5101 E US Highway 36 Ste 100
Avon, IN 46123-6646
Phone (888) 714-1927
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39000187A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1568958338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 E US HIGHWAY 36 STE 100",
"city": "AVON",
"state": "IN",
"postal_code": "461236646",
"telephone_number": "888-714-1927",
"fax_number": "317-745-9565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 E US HIGHWAY 36",
"city": "AVON",
"state": "IN",
"postal_code": "46123",
"telephone_number": "888-714-1927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DOUGLAS",
"middle_name": "WAYNE",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-05",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39000187A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.