Individual provider Active NPI

Nichole Rose Jones, LCPC

  • Professional Counselor
  • Rising Sun, MD
National Provider Identifier
1619348901
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP6672 Issued in MD
Practice address
117A Ryan Dr
Rising Sun, MD 21911-1841
Phone
(410) 910-9693
NPI assigned
Oct 12, 2015
Last updated
May 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP6672 MD Primary

Addresses

Primary practice location

117A Ryan Dr
Rising Sun, MD 21911-1841

Mailing address

PO Box 104
Rising Sun, MD 21911-0104

Other practice location 1

20 Craigtown Rd Ste 103
Port Deposit, MD 21904-1801
Phone (410) 910-9693

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250516000754 MD Practitioner - Mental Health Counselor 3173041860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LGP6672MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling & Wellness Center Professional CurrentSince Mar 13, 2025 Accepting new patients
Thrive Counseling & Wellness Center Professional PastSince Feb 25, 2024 Accepting new patients

Locations

20 Craigtown Rd
Ste 103
Port Deposit, MD 21904
Phone (410) 449-2053

117 Ryan Dr
#A
Rising Sun, MD 21911
Phone (410) 449-2053

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1619348901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 104",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219110104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117A RYAN DR",
            "city": "RISING SUN",
            "state": "MD",
            "postal_code": "219111841",
            "telephone_number": "410-910-9693"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Craigtown Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Port Deposit",
            "state": "MD",
            "postal_code": "219041801",
            "country_code": "US",
            "telephone_number": "410-910-9693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "NICHOLE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP6672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rising Sun, MD

Sources for this page

Verify at the official NPI Registry.