Active NPI
Nichole Rose Jones, LCPC
- Professional Counselor
- Rising Sun, MD
National Provider Identifier
1619348901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LGP6672
- Practice address
- 117A Ryan Dr
Rising Sun, MD 21911-1841 - Phone
- (410) 910-9693
- NPI assigned
- Oct 12, 2015
- Last updated
- May 12, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250516000754 | MD | Practitioner - Mental Health Counselor | 3173041860 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP6672 | MD | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling & Wellness Center | Professional | Current | Accepting new patients |
| Thrive Counseling & Wellness Center | Professional | Past | 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.
-
- Professional Counselor
- Rising Sun, MD
- NPI 1477189934
-
- Professional Counselor
- Rising Sun, MD
- NPI 1043075856
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
- Gold Star Audiology Clinic
- Dakotah Catherine Greif, DPT
- Bobbi-Jo Gross-Zell, LCPC
- Dominick Joseph Guessford, P.T.A., A.T.C.
- Frederick Earl Jenkins III
- Joseph K. Weidner Jr MD LLC (Stone Run Family Medicine)
- Sarah Elizabeth Keesee, LCPC
- Razaullah Khwaja, MD
- Lisa Lynn Kirk, REGISTERED PHARMACIS
- Kyleigh Brooke Knell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.