Jennifer Rose Jones, LCMHCA, LCASA
Individual provider Active NPI Mental Health Counselor · Beulaville, NC
NPI 1760143952 · NPPES record last updated Apr 29, 2025
Key facts
- NPI
- 1760143952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- A21302 (NC)
- Practice address
- 749 Hallsville Rd
Beulaville, NC 28518-6605 - Phone
- (910) 601-5218
- Fax
- (910) 375-8108
- NPI assigned
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCAS-27953 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| A21302 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reform and Restore Services PLLC | Mental Health | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCAS-27953 | NC | |
| Mental Health Counselor | 101YM0800X | A21302 | NC | Yes |
Addresses
Primary practice location
749 Hallsville Rd
Beulaville, NC 28518-6605
Mailing address
749 Hallsville Rd
Beulaville, NC 28518-6605
Phone (252) 497-2727
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | jenniferrjoneslcmhca@gmail.com | Direct | |
| CONNECT URL | jennifer.tccw@gmail.com |
Other providers in Beulaville, NC
- Brittany Hunter
- Intimate Silhouettes by Fran
- Crystal Ipock
- Alice Barton Jones
- Erica H. Jones
- Kendra K. Jones
- Michael B. Jones
- Robert Jones
- Ellen K Juzba
- Emily Rose Keith
All providers in Beulaville, NC · Mental Health Counselor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.