Active NPI
Casandra Jones, LPC
- Counselor
- Williamsburg, VA
National Provider Identifier
1790239200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0701006721
- Practice address
- 1657 Merrimac TRL
Williamsburg, VA 23185-5624 - Phone
- (757) 253-4061
- NPI assigned
- Aug 12, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0701006721 | VA | Primary |
Addresses
Primary practice location
1657 Merrimac TRL
Williamsburg, VA 23185-5624
Mailing address
1657 Merrimac TRL
Williamsburg, VA 23185-5624
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006721 | VA | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Behavioral Health | Current | Accepting new patients | |
| Colonial Behavioral Health | Past | Accepting new patients |
Locations
1657 Merrimac Trl
Williamsburg, VA 23185
Phone (757) 220-3200
921 Capitol Landing Rd
Williamsburg, VA 23185
Phone (757) 253-4074
3804 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 898-7926
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Williamsburg, VA
- NPI 1760565915
-
- Health Maintenance Organization
- Williamsburg, VA
- NPI 1841556776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471305600000",
"number": "1790239200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1657 MERRIMAC TRL",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231855624",
"telephone_number": "757-253-4061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CASANDRA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-12",
"last_updated": "2016-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0701006721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.