Individual provider Active NPI

Brandon Jones, CM, COMM, LCSW,PRES,

  • Case Manager/Care Coordinator
  • New York, NY
National Provider Identifier
1609598416
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
51 E 125TH St
New York, NY 10035-1685
Phone
(212) 470-1465
Fax
(646) 921-3189
NPI assigned
Sep 19, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary
Mental Health Counselor 101YM0800X 0001135 NY

Addresses

Primary practice location

51 E 125TH St
New York, NY 10035-1685

Mailing address

1075 Webster Ave # 4B5
Bronx, NY 10456-5931
Phone (212) 470-1465

Other identifiers 1

IdentifierTypeStateIssuer
001135OtherNYNYS DOH

Other names 1

  • Commissioner Brandon Jones Professional name

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
0001135NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Unim Health Corporation Current Accepting new patients
The Lenox-Unim Community Health Initiative CurrentSince Sep 10, 2023 Accepting new patients

Locations

51 E 125th St
New York, NY 10035
Phone (212) 470-1465

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1609598416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 WEBSTER AVE # 4B5",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565931",
            "telephone_number": "212-470-1465",
            "fax_number": "646-921-3189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100351685",
            "telephone_number": "212-470-1465",
            "fax_number": "646-921-3189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRANDON",
        "credential": "CM, COMM, LCSW,PRES,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-19",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0001135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH",
            "identifier": "001135",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COMMISSIONER BRANDON",
            "last_name": "JONES",
            "credential": "CM, PRESIDENT, COMM,",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

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