Active NPI
Dolores Jones, LCMHC
- Mental Health Counselor
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 012111
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18PO5723 | NY | MD | Mental Health Counselor |
| 26NR15049900 | NJ | MD | Registered Nurse |
| 00574487 | NY | MD | Registered Nurse |
| 574487 | NY | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NJ Behavioral Health Services PC | Current | Accepting new patients | |
| Nurses 4 Better Living | Mental Health | Current | Accepting new patients |
| Che Senior Psychological Services, PC | Current | Accepting new patients | |
| Knapp Street Psychiatry, PC | Current | 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.
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1023078219
-
- Clinical Psychologist
- Paramus, NJ
- NPI 1447289376
-
- Clinical Psychologist
- Brooklyn, NY
- NPI 1043248776
-
- Psychiatric/Mental Health Registered Nurse
- New York, NY
- NPI 1306355904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.