Active NPI
Julie Karena Jones, PH.D., LPC
- Professional Counselor
- Colchester, CT
National Provider Identifier
1780788422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001158
- Practice address
- 79A Norwich Avenue
Colchester, CT 06415 - Phone
- (860) 930-3598
- Fax
- (860) 537-6896
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 001158 | CT | Primary |
Addresses
Primary practice location
79A Norwich Avenue
Colchester, CT 06415
Mailing address
79A Norwich Avenue
Colchester, CT 06415
Phone (860) 930-3598
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0007190248 | Other | CT | AETNA BEH. HEALTH PIN |
| 240001158CT07 | Other | CT | ANTHEM BC/BS PIN |
| 2078261 | Other | CT | CIGNA PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001158 | CT | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Well Life Therapy, LLC | Professional | Past | Accepting new patients |
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.
-
- Professional Counselor
- Middletown, CT
- NPI 1972964898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780788422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79A NORWICH AVENUE",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-930-3598",
"fax_number": "860-537-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79A NORWICH AVENUE",
"city": "COLCHESTER",
"state": "CT",
"postal_code": "06415",
"telephone_number": "860-930-3598",
"fax_number": "860-537-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JULIE",
"middle_name": "KARENA",
"name_prefix": "Dr.",
"credential": "PH.D., LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001158",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA BEH. HEALTH PIN",
"identifier": "0007190248",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS PIN",
"identifier": "240001158CT07",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PIN",
"identifier": "2078261",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.