Active NPI
Patrick J Jones, LPA, LCMHC, LCAS
- Mental Health Counselor
- Pacific Grove, CA
National Provider Identifier
1841425626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9376
- Practice address
- 468 Pine Ave
Pacific Grove, CA 93950-3440 - Phone
- (916) 906-2440
- NPI assigned
- May 21, 2009
- Last updated
- Jun 19, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 3888 | NC | |
| Mental Health Counselor | 101YM0800X | 9376 | NC | Primary |
| Psychologist | 103T00000X | NU | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Cognitive & Behavioral Psychologist | 103TB0200X | NU |
Addresses
Primary practice location
468 Pine Ave
Pacific Grove, CA 93950-3440
Mailing address
468 Pine Ave
Pacific Grove, CA 93950-3440
Phone (916) 906-2440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107650 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3888 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 9376 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655596800000",
"number": "1841425626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "468 PINE AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939503440",
"telephone_number": "916-906-2440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "468 PINE AVE",
"city": "PACIFIC GROVE",
"state": "CA",
"postal_code": "939503440",
"telephone_number": "916-906-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PATRICK",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LPA, LCMHC, LCAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-21",
"last_updated": "2022-06-19",
"certification_date": "2022-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "3888",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "9376",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107650",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pacific Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.