Active NPI
Willie Eugene Jones Jr., MA, LPC
- Professional Counselor
- Jonesboro, GA
National Provider Identifier
1669728259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006888
- Practice address
- 2763 Highway 138 E
Suite a
Jonesboro, GA 30236-2763 - Phone
- (678) 545-6745
- NPI assigned
- Aug 1, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | LPC006888 | GA | Primary |
Addresses
Primary practice location
2763 Highway 138 E
Suite a
Jonesboro, GA 30236-2763
Mailing address
153 Berrywood CT
McDonough, GA 30253-9244
Phone (404) 274-4341
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006888 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stepping Stones Intervention Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- McDonough, GA
- NPI 1194076547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1669728259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 BERRYWOOD CT",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302539244",
"telephone_number": "404-274-4341",
"fax_number": "770-954-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2763 HIGHWAY 138 E",
"address_2": "SUITE A",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362763",
"telephone_number": "678-545-6745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WILLIE",
"middle_name": "EUGENE",
"name_suffix": "Jr.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-01",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, GA
- Lashawnda Doster Jones, M.D.
- Marlynn B Jones, RN,APRN
- Marresa December Jones, D.C.
- Nikka N Jones, BA, M.ED., CCC-SLP
- Patricia Ann Jones, DO
- Jonesboro Assisted Living Center, LLC
- Jonesboro Center for Nursing and Healing LLC
- Jonesboro Dental Associates
- Jonesboro Elite Healthcare Agency
- Jonesboro Nursing and Rehabilitation Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.