Active NPI
Larhonda R Jones, M.D.
- Child & Adolescent Psychiatry Physician
- Bridgeton, MO
National Provider Identifier
1659470151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 109665
- Practice address
- 3394 McKelvey Rd
Ste. 116
Bridgeton, MO 63044-2531 - Phone
- (314) 209-0900
- Fax
- (314) 209-0912
- NPI assigned
- Sep 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 109665 | MO | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036-097194 | IL |
Addresses
Primary practice location
3394 McKelvey Rd
Ste. 116
Bridgeton, MO 63044-2531
Mailing address
3394 McKelvey Rd
Ste. 116
Bridgeton, MO 63044-2531
Phone (314) 209-0900
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 481375 | Other | MO | VALUE OPTIONS |
| 15-44745 | Other | MO | UNITED HEALTH CARE |
| 370760015JON | Other | MO | PREMIERE BENEFITS |
| 889413 | Other | MO | MERCY CARE PLUS |
| 036097194 | Medicaid | IL | |
| 370760015JON | Other | MO | MERCY HEALTH PLAN |
| 370760015JON | Other | MO | UNITY HEALTH SERVICES |
| 479955 | Other | MO | HEALTHLINK |
| P1505 | Other | MO | PAS |
| 127583 | Other | MO | ANTHEM BLUE CROSS BLUE SH |
| 889413 | Other | MO | NOVASYS HEALTH |
| 15-44745 | Other | MO | UNITED BEHAVIORAL HEALTH |
| 260205000 | Other | MO | MAGELLAN BEHAVIORAL HEALT |
| 481375 | Other | MO | MH/SA CLAIMS |
| 7769381 | Other | MO | AETNA |
| 203982012 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040309000464 | MO | Practitioner - Psychiatry | 2567350713 | Practice locations: Bridgeton, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Missouri, Kansas City, School of Medicine, 1994
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
3394 McKelvey Rd
Ste. 116
Bridgeton, MO 63044-2531
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-097194 | IL | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659470151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3394 MCKELVEY RD",
"address_2": "STE. 116",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442531",
"telephone_number": "314-209-0900",
"fax_number": "314-209-0912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3394 MCKELVEY RD",
"address_2": "STE. 116",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442531",
"telephone_number": "314-209-0900",
"fax_number": "314-209-0912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LARHONDA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MO",
"license": "109665",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036-097194",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "481375",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "15-44745",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREMIERE BENEFITS",
"identifier": "370760015JON",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY CARE PLUS",
"identifier": "889413",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036097194",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCY HEALTH PLAN",
"identifier": "370760015JON",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITY HEALTH SERVICES",
"identifier": "370760015JON",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "479955",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAS",
"identifier": "P1505",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "127583",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NOVASYS HEALTH",
"identifier": "889413",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "15-44745",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "260205000",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MH/SA CLAIMS",
"identifier": "481375",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7769381",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203982012",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.