Active NPI
Cory Lee Jones, LADAC
- Addiction (Substance Use Disorder) Counselor
- Jackson, TN
National Provider Identifier
1669720611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 332
- Practice address
- 238 Summar Dr
Jackson, TN 38301-3906 - Phone
- (731) 541-8200
- NPI assigned
- Aug 23, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 332 | TN | Primary |
Addresses
Primary practice location
238 Summar Dr
Jackson, TN 38301-3906
Mailing address
1804 Highway 45 Byp
Suite 604
Jackson, TN 38305-4436
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
| License | State | Type | Specialty |
|---|---|---|---|
| 332 | TN | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345680000000",
"number": "1669720611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "SUITE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013906",
"telephone_number": "731-541-8200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CORY",
"middle_name": "LEE",
"credential": "LADAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-23",
"last_updated": "2012-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TN",
"license": "332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.