Active NPI
Valorie Antoinette Jones, LPC, CRC
- Professional Counselor
- Conyers, GA
National Provider Identifier
1679091276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 011594
- Practice address
- 1775 Parker Rd SE Ste C210
Conyers, GA 30094-6676 - Phone
- (678) 487-3737
- Fax
- (770) 679-4868
- NPI assigned
- Sep 2, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | APC005572 | GA | |
| Professional Counselor | 101YP2500X | 011594 | GA | Primary |
Addresses
Primary practice location
1775 Parker Rd SE Ste C210
Conyers, GA 30094-6676
Mailing address
1775 Parker Rd SE Ste C210
Conyers, GA 30094-6676
Phone (678) 487-3737
Other practice location 1
343 Salem Gate Dr SE
Conyers, GA 30013-1773
Phone (770) 929-1470
Other practice location 2
1175 Green St SE
Conyers, GA 30012-5407
Phone (770) 929-1470
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 |
|---|---|---|---|
| APC005572 | GA | MD | Mental Health Counselor |
| 011594 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1679091276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 PARKER RD SE STE C210",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946676",
"telephone_number": "678-487-3737",
"fax_number": "770-679-4868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 PARKER RD SE STE C210",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946676",
"telephone_number": "678-487-3737",
"fax_number": "770-679-4868"
}
],
"practiceLocations": [
{
"address_1": "343 Salem Gate Dr SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300131773",
"country_code": "US",
"telephone_number": "770-929-1470",
"fax_number": "770-929-1425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1175 Green St SE",
"address_purpose": "LOCATION",
"city": "Conyers",
"state": "GA",
"postal_code": "300125407",
"country_code": "US",
"telephone_number": "770-929-1470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "VALORIE",
"middle_name": "ANTOINETTE",
"name_prefix": "Mrs.",
"credential": "LPC, CRC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-02",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "GA",
"license": "APC005572",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "011594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.