Individual provider Active NPI

Antoinette Poulin Jones, L.P.C.

  • Mental Health Counselor
  • Warrenton, VA
National Provider Identifier
1801993779
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
170 W Shirley Ave Ste 206
Warrenton, VA 20186-3083
Phone
(571) 330-9515
Fax
(703) 543-1269
NPI assigned
Sep 20, 2006
Last updated
Jul 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X VA Primary

Addresses

Primary practice location

170 W Shirley Ave Ste 206
Warrenton, VA 20186-3083

Mailing address

170 W Shirley Ave Ste 206
Warrenton, VA 20186-3083
Phone (571) 330-9515

Other practice location 1

7350 Heritage Village Plz Unit 102
Gainesville, VA 20155-3085
Phone (571) 330-9515

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250428001505 VA Practitioner - Mental Health Counselor 8527584135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

170 W Shirley Ave
Suite 206
Warrenton, VA 20186-3083
Phone (571) 330-9515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Antoinette P. Jones LLC CurrentSince Jan 30, 2025 Accepting new patients
Social Achievers Mental Health Past Accepting new patients

Locations

767 Madison Rd
Ste 112114
Culpeper, VA 22701
Phone (540) 446-1216

7350 Heritage Village Plz
Unit 102
Gainesville, VA 20155
Phone (571) 330-9515

170 W Shirley Ave
Ste 206
Warrenton, VA 20186
Phone (540) 349-4537

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, 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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1801993779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 W SHIRLEY AVE STE 206",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863083",
            "telephone_number": "571-330-9515",
            "fax_number": "703-543-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 W SHIRLEY AVE STE 206",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201863083",
            "telephone_number": "571-330-9515",
            "fax_number": "703-543-1269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 Heritage Village Plz Unit 102",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "VA",
            "postal_code": "201553085",
            "country_code": "US",
            "telephone_number": "571-330-9515",
            "fax_number": "703-543-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANTOINETTE",
        "middle_name": "POULIN",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, VA

Sources for this page

Verify at the official NPI Registry.