Active NPI
William Jones, LCMHCA
- Mental Health Counselor
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lotus Care Psychological Services, PLLC | Single Specialty | Current | 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.
-
- Clinical Psychologist
- Shannon, NC
- NPI 1104565407
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.