Individual provider Active NPI

Michael Rutherford Jones, M.A., PH.D.

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1780930198
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149016709 Issued in IL
Practice address
122 S Michigan Ave Ste 1452
Chicago, IL 60603-6179
Phone
(312) 307-6411
NPI assigned
Aug 3, 2012
Last updated
Aug 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149016709 IL Primary

Addresses

Primary practice location

122 S Michigan Ave Ste 1452
Chicago, IL 60603-6179

Mailing address

920 Suffolk CT
Libertyville, IL 60048-5218
Phone (312) 307-6411

Other practice location 1

920 Suffolk Ct
Libertyville, IL 60048-5218
Phone (312) 307-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
149016709ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael R Jones Therapy LLC Clinical CurrentSince Sep 1, 2019 Accepting new patients

Locations

122 S Michigan Ave
Ste 1452
Chicago, IL 60603
Phone (312) 307-6411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1780930198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 SUFFOLK CT",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485218",
            "telephone_number": "312-307-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1452",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036179",
            "telephone_number": "312-307-6411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Suffolk Ct",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485218",
            "country_code": "US",
            "telephone_number": "312-307-6411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MICHAEL",
        "middle_name": "RUTHERFORD",
        "name_prefix": "Mr.",
        "credential": "M.A., PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149016709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; 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.