Individual provider Active NPI

Dolores Jones, LCMHC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1740513779
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012111 Issued in NY
Practice address
217 W 111TH St
New York, NY 10026-4198
Phone
(833) 446-8773
Fax
(732) 807-4222
NPI assigned
Sep 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 26NR15049900 NJ
Registered Nurse 163W00000X 00574487 NY
Mental Health Counselor 101YM0800X 18PO5723 NY
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 574487 NY
Case Management Registered Nurse 163WC0400X 574487 NY
Home Health Registered Nurse 163WH0200X 574487 NY
Psychiatric/Mental Health Registered Nurse 163WP0808X 574487 NY
Rehabilitation Registered Nurse 163WR0400X 574487 NY
Mental Health Counselor 101YM0800X 012111 NY Primary

Addresses

Primary practice location

217 W 111TH St
New York, NY 10026-4198

Mailing address

25 Edgemere Rd
Neptune, NJ 07753-3516
Phone (833) 446-8773

Other practice location 1

217w111
Nyc, NY 10026
Phone (833) 446-8773

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240208002956 NY Practitioner - Mental Health Counselor 5294178000 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY
I20250811000003 NJ Practitioner - Mental Health Counselor 5294178000 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Behavioral Health Services PCGroup PAC ID 0648288712, 51 clinicians
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

140 E Ridgewood Ave
Suite 415
Paramus, NJ 07652-3915
Phone (800) 275-3243

300 Cadman PLZ W
Brooklyn, NY 11201-3211
Phone (888) 515-3834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18PO5723NYMDMental Health Counselor
26NR15049900NJMDRegistered Nurse
00574487NYMDRegistered Nurse
574487NYMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Behavioral Health Services PC CurrentSince Jun 3, 2025 Accepting new patients
Nurses 4 Better Living Mental Health CurrentSince Feb 24, 2022 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Mar 3, 2025 Accepting new patients
Knapp Street Psychiatry, PC CurrentSince Mar 3, 2025 Accepting new patients

Locations

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

2433 Knapp St
Ste 306
Brooklyn, NY 11235

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Organizations & group practices 4

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1740513779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 EDGEMERE RD",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533516",
            "telephone_number": "833-446-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 W 111TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100264198",
            "telephone_number": "833-446-8773",
            "fax_number": "732-807-4222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217w111",
            "address_purpose": "LOCATION",
            "city": "Nyc",
            "state": "NY",
            "postal_code": "10026",
            "country_code": "US",
            "telephone_number": "833-446-8773",
            "fax_number": "732-807-4222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOLORES",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15049900",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "00574487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18PO5723",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "574487",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "574487",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "574487",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "NY",
            "license": "574487",
            "primary": false
        },
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "NY",
            "license": "574487",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.