Carnel Renea Jones, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009011 Issued in GA

Practice address

102 Hubert Dollar Dr
Bainbridge, GA 39819-3304

Phone

(229) 254-3627

Fax

(229) 389-2877

NPI assigned

Dec 12, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA, Professional

  Medicare reassignment NPD
• Samaritan Counseling Center of Southwest Georgia, Inc.

  • Professional Counselor
  • Bainbridge, GA
  • NPI 1669651212

  Professional

  NPD (past)

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

{
    "created_epoch": "1418342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1639577232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 HUBERT DOLLAR DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398193304",
            "telephone_number": "229-254-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HUBERT DOLLAR DR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398193304",
            "telephone_number": "229-254-3627",
            "fax_number": "229-389-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CARNEL",
        "middle_name": "RENEA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-12",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John D. Archbold Memorial Hospital, Inc.
• John D. Archbold Memorial Hospital, Inc.
• John D. Archbold Memorial Hospital, Inc.
• Johnson'S Personal Care Home, Inc.
• Brett Jones, PHARMD
• Linda Jones, MD
• Sydney Jordan
• K and K Living, LLC
• Jordan Rae Kay, M.ED. CCC-SLP
• Charsuede Keaton

• All providers in Bainbridge, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.

Verify at the official NPI Registry.