Individual provider Active NPI

Natasha A Jones, MS, LPC

  • Professional Counselor
  • New Lisbon, WI
National Provider Identifier
1790204287
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10044 Issued in WI
Practice address
304 Bickford St
New Lisbon, WI 53950-1533
Phone
(608) 562-3976
Fax
(608) 562-3975
NPI assigned
Sep 15, 2017
Last updated
Nov 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10044 WI Primary

Addresses

Primary practice location

304 Bickford St
New Lisbon, WI 53950-1533

Mailing address

304 Bickford St
New Lisbon, WI 53950-1533
Phone (608) 562-3976

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 Science

State licenses

LicenseStateTypeSpecialty
10044WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Counseling & Family Services S.C CurrentSince Nov 13, 2024 Accepting new patients

Locations

304 Bickford St
New Lisbon, WI 53950
Phone (608) 562-3976

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": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1790204287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 BICKFORD ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501533",
            "telephone_number": "608-562-3976",
            "fax_number": "608-562-3975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 BICKFORD ST",
            "city": "NEW LISBON",
            "state": "WI",
            "postal_code": "539501533",
            "telephone_number": "608-562-3976",
            "fax_number": "608-562-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "NATASHA",
        "middle_name": "A",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lisbon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.