Individual provider Active NPI

Ernest Grant Jones

  • Psychologist
  • Springfield, MO
National Provider Identifier
1831370592
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1478 Issued in MO
Practice address
1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone
(417) 869-8400
Fax
(417) 869-8401
NPI assigned
Nov 21, 2007
Last updated
Dec 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1478 MO Primary

Addresses

Primary practice location

1864 S Kentwood Ave
Springfield, MO 65804-2323

Mailing address

1864 S Kentwood Ave
Springfield, MO 65804-2323
Phone (417) 869-8400

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1710 Todd Dr
Branson, MO 65616-2157

2957 S Camber Ave
Springfield, MO 65809-3547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1478MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Egj Counseling LLC Psychologist Current Accepting new patients
Midwest Neuropsychology and Behavioral Health, LLC PastSince Nov 19, 2000 Accepting new patients

Locations

1864 S Kentwood Ave
Springfield, MO 65804
Phone (417) 869-8400

Organizations & group practices 3

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": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1831370592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 S KENTWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042323",
            "telephone_number": "417-869-8400",
            "fax_number": "417-869-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 S KENTWOOD AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658042323",
            "telephone_number": "417-869-8400",
            "fax_number": "417-869-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERNEST",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-21",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "1478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.