Individual provider Active NPI

Charlatta V Jones, LADC, LMSW

  • Addiction (Substance Use Disorder) Counselor
  • Farmington, CT
National Provider Identifier
1841015377
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
001459 Issued in CT
Practice address
1789 New Britain Ave
Farmington, CT 06032-3317
Phone
(860) 754-3672
NPI assigned
Nov 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 001459 CT Primary
Social Worker 104100000X 9223 CT

Addresses

Primary practice location

1789 New Britain Ave
Farmington, CT 06032-3317

Mailing address

97 Chapel St
Bristol, CT 06010-2313
Phone (203) 500-6278

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9223CTMDSocial Worker
001459CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea and Associates LLC Addiction (Substance Use Disorder) CurrentSince Nov 24, 2024 Accepting new patients

Locations

1789 New Britain Ave
Ste 18
Farmington, CT 06032
Phone (860) 808-6586

1789 New Britain Ave
Farmington, CT 06032
Phone (860) 754-3507

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1841015377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 CHAPEL ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060102313",
            "telephone_number": "203-500-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 NEW BRITAIN AVE",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060323317",
            "telephone_number": "860-754-3672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARLATTA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LADC, LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "001459",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "9223",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.