Anita Jones

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

W57504 Issued in CA

Practice address

2570 Lake Ridge Rd Apt 7218
Lewisville, TX 75056-4982

Phone

(469) 693-3589

NPI assigned

May 23, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ajessential Solutions

  • Prevention Professional
  • Lewisville, TX
  • NPI 1134983828
  NPD Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1700578192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561107",
            "city": "THE COLONY",
            "state": "TX",
            "postal_code": "750566107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 LAKE RIDGE RD APT 7218",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750564982",
            "telephone_number": "469-693-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "W57504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phaedra Johnson
• Philesha Johnson
• Quinessa Shonte Johnson, PH.D
• Tiawna Rose Johnson, LPC
• Jon Lamb Counseling, PLLC
• Chryshana Sherrie Jones, BSN, RN
• Kevin Dale Jones, LPC, LMFT
• Queen Jones, PMHNP
• Jordan Carl DMD PLLC (Jordan Carl DMD)
• Donna Elaine Jordan

• Prevention Professional in Lewisville, TX
• Providers in Lewisville, TX by specialty
• Prevention Professional in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.