Individual provider Active NPI

William Jones, LCMHCA

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1699385963
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4250 Clinton Rd Ste 102
Fayetteville, NC 28312-8517
Phone
(910) 920-1050
Fax
(910) 920-1051
NPI assigned
Aug 3, 2020
Last updated
Aug 3, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4250 Clinton Rd Ste 102
Fayetteville, NC 28312-8517

Mailing address

4250 Clinton Rd # 102
Fayetteville, NC 28312-8517

Other practice location 1

4250 Clinton Rd
Fayetteville, NC 28312-8517
Phone (910) 920-1050

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.springlakecounseling.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20240607003180 NC Practitioner - Mental Health Counselor 3375085186 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Care Psychological Services, PLLC Single Specialty CurrentSince Apr 26, 2024 Accepting new patients

Locations

2521 Raeford Rd
Ste B
Fayetteville, NC 28305
Phone (910) 748-0100

3013A Raeford Rd
Fayetteville, NC 28303
Phone (910) 483-9001

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1699385963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 CLINTON RD # 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 CLINTON RD STE 102",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283128517",
            "telephone_number": "910-920-1050",
            "fax_number": "910-920-1051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Clinton Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283128517",
            "country_code": "US",
            "telephone_number": "910-920-1050",
            "fax_number": "910-339-9375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.springlakecounseling.com",
            "affiliation": "N",
            "address_1": "4250 Clinton Rd Ste 102",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283128517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.