Individual provider Active NPI

Bryan Arthur Jones

  • Addiction (Substance Use Disorder) Counselor
  • Apple Valley, CA
National Provider Identifier
1720799448
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1424050421 Issued in CA
Practice address
18888 Outer Hwy 18 Ste 208
Apple Valley, CA 92307-2315
Phone
(760) 881-0070
NPI assigned
Dec 13, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X R1424050421 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X R1424050421 CA Primary

Addresses

Primary practice location

18888 Outer Hwy 18 Ste 208
Apple Valley, CA 92307-2315

Mailing address

18888 Outer Hwy 18 Ste 208
Apple Valley, CA 92307-2315
Phone (760) 881-0070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jones@newlifefacility.com Direct

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

LicenseStateTypeSpecialty
R1424050421CAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Life Facility Inc CurrentSince Dec 28, 2022 Accepting new patients

Locations

18888 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 881-0070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1720799448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18888 OUTER HWY 18 STE 208",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072315",
            "telephone_number": "760-881-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18888 OUTER HWY 18 STE 208",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072315",
            "telephone_number": "760-881-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRYAN",
        "middle_name": "ARTHUR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "R1424050421",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1424050421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jones@newlifefacility.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "18888 Outer Hwy 18 Ste 208",
            "city": "Apple Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923072315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.