Individual provider Active NPI

Sandra Rattray Jones, PH.D. (AND LMHC)

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1710216098
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH1212 Issued in FL
Practice address
5618 NW 43Rd Ave.
Gainesville, FL 32653
Phone
(352) 372-7007
NPI assigned
Dec 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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 MH1212 FL Primary

Addresses

Primary practice location

5618 NW 43Rd Ave.
Gainesville, FL 32653

Mailing address

5618 NW 43Rd Ave.
Gainesville, FL 32653
Phone (352) 372-7007

Other identifiers 1

IdentifierTypeStateIssuer
Z-4143OtherFLBC/BS

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH1212FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1260835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1710216098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5618 NW 43RD AVE.",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32653",
            "telephone_number": "352-372-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5618 NW 43RD AVE.",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32653",
            "telephone_number": "352-372-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SANDRA",
        "middle_name": "RATTRAY",
        "name_prefix": "Dr.",
        "credential": "PH.D. (AND LMHC)",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-15",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "Z-4143",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.