Stacey Jones, MED, LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

86231 Issued in TX

Practice address

3740 N Josey LN Ste 145
Carrollton, TX 75007-2471

Phone

(469) 208-2406

NPI assigned

Jun 12, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Wisewell Health, PLLC

  • Professional Counselor
  • Dallas, TX
  • NPI 1881309128
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674259200000",
    "number": "1831767342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 DOTTIE LYNN PKWY STE 127",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761204435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 N JOSEY LN STE 145",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750072471",
            "telephone_number": "469-208-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STACEY",
        "credential": "MED, LPC, LCDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-12",
        "last_updated": "2023-01-21",
        "certification_date": "2023-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "86231",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "15670",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SimplePractice.com",
            "affiliation": "N",
            "address_1": "3740 N Josey Ln Ste 145",
            "city": "Carrollton",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750072471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy Jones
• Ashley Elizabeth Jones, M.ED., BCBA, LBA
• Brandy M Jones
• James Michael Jones
• Martinque Karee Jones
• Stephanie Michele Jones, FNP
• Jong Hwa Lee
• Joo & Um, Inc.
• Jolly Jose, NP-C
• Jennifer Rebecca Joseph, CRNA

• Professional Counselor in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2023; 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.