Tina Kathleen Jones, APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APCC12242 Issued in CA

Practice address

1833 S Oregon St # 397
Yreka, CA 96097-3446

Phone

(530) 842-3455

Fax

(530) 842-7917

NPI assigned

Sep 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1841910411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1833 S OREGON ST # 397",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973446",
            "telephone_number": "530-842-3455",
            "fax_number": "530-842-7917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1833 S OREGON ST # 397",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973446",
            "telephone_number": "530-842-3455",
            "fax_number": "530-842-7917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TINA",
        "middle_name": "KATHLEEN",
        "credential": "APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC12242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689794190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel John, MD
• Katelyn Johnson
• Sarah Marie Johnson, RADT I
• Shantel Nicole Joling, PA-C
• Doris A Jones, MSN, ARNP
• Karuk Tribe
• Paul Kay
• Kim Marie Keller
• Pamela Marie Keller, ACSW
• Jennifer A Kelly

• Professional Counselor in Yreka, CA
• Providers in Yreka, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.