Individual provider Active NPI

Christina Spickard Jones, PH.D., LPC

  • Counseling Psychologist
  • Lebanon, TN
National Provider Identifier
1821273608
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2655 Issued in TN
Practice address
228 W Main St
Ste B
Lebanon, TN 37087-2744
Phone
(615) 414-8248
NPI assigned
Dec 30, 2007
Last updated
Apr 8, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1906 TN
Counseling Psychologist 103TC1900X 2655 TN Primary

Addresses

Primary practice location

228 W Main St
Ste B
Lebanon, TN 37087-2744

Mailing address

430 Plantation Blvd
Lebanon, TN 37087-3260
Phone (615) 414-8248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20080508000691 TN Practitioner - Clinical Psychologist 2668551144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Resolution Therapy Associates, PLLCGroup PAC ID 6305925876, 2 clinicians

Practice addresses (Care Compare)

123 N Greenwood St
Lebanon, TN 37087-2722
Phone (615) 453-9696

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1906TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resolution Therapy Associates, PLLC Counseling CurrentSince May 1, 2008 Accepting new patients

Locations

123 N Greenwood St
Lebanon, TN 37087
Phone (615) 453-9696

228 W Main St
Ste B
Lebanon, TN 37087
Phone (615) 414-8249

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": "1198972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207612800000",
    "number": "1821273608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 PLANTATION BLVD",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873260",
            "telephone_number": "615-414-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 W MAIN ST",
            "address_2": "STE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872744",
            "telephone_number": "615-414-8248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTINA",
        "middle_name": "SPICKARD",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-30",
        "last_updated": "2008-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "1906",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TN",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

Verify at the official NPI Registry.