Shannon Renique Jones

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LGP10150 Issued in MD

Practice address

18237 Swiss Cir Apt 1
Germantown, MD 20874-5853

Phone

(336) 471-7399

NPI assigned

Mar 5, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wise Counsel Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Germantown, MD
  • NPI 1396605176
  NPD Authorized official

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

{
    "created_epoch": "1583366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1780219139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18237 SWISS CIR APT 1",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745853",
            "telephone_number": "336-471-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18237 SWISS CIR APT 1",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745853",
            "telephone_number": "336-471-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHANNON",
        "middle_name": "RENIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-05",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP10150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Eugene Johnson Jr., RPH
• Christopher Michael Jones, LCSW-C
• Elizabeth D Jones, PTA
• Kimberly Yvette Jones
• Renee S Jones, LPC
• Joon Kim DDS LLC
• Rosa Joppy
• Rhonda Winfield Jordan, LCSW-C
• Samuel Jordan
• Alex Steve Joya

• Professional Counselor in Germantown, MD
• Providers in Germantown, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; 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.