Active NPI
Jon B Schafer, MS, LPC, NCC, MAC
- Professional Counselor
- Fort Belvoir, VA
National Provider Identifier
1851425581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2315
- Practice address
- 9300 Dewitt Loop
Child and Adolescent Psychiatry Services Clinic
Fort Belvoir, VA 22060-5285 - Phone
- (571) 231-1171
- Fax
- (571) 231-1172
- NPI assigned
- Mar 15, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2315 | AL | |
| Professional Counselor | 101YP2500X | 2315 | AL | Primary |
Addresses
Primary practice location
9300 Dewitt Loop
Child and Adolescent Psychiatry Services Clinic
Fort Belvoir, VA 22060-5285
Mailing address
9300 Dewitt Loop
Fort Belvoir Community Hospital
Fort Belvoir, VA 22060-5285
Phone (571) 231-1171
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11713524 | Other | AL | CAQH |
| 51527447 | Other | AL | BCBSAL |
| 200280923 | Other | AL | TAX ID |
| 51534981 | Other | AL | AMERICAN BEHAVIORAL HEALT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jon.b.schafer.civ@mail.mil | Direct |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2315 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620864000000",
"number": "1851425581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"address_2": "FORT BELVOIR COMMUNITY HOSPITAL",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-1171",
"fax_number": "571-231-1172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 DEWITT LOOP",
"address_2": "CHILD AND ADOLESCENT PSYCHIATRY SERVICES CLINIC",
"city": "FORT BELVOIR",
"state": "VA",
"postal_code": "220605285",
"telephone_number": "571-231-1171",
"fax_number": "571-231-1172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAFER",
"first_name": "JON",
"middle_name": "B",
"name_prefix": "Mr.",
"credential": "MS, LPC, NCC, MAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-15",
"last_updated": "2021-05-13",
"certification_date": "2021-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AL",
"license": "2315",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "11713524",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSAL",
"identifier": "51527447",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "200280923",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN BEHAVIORAL HEALT",
"identifier": "51534981",
"state": "AL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jon.b.schafer.civ@mail.mil",
"affiliation": "N",
"endpointDescription": "Work email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9300 DeWitt Loop",
"address_2": "Child and Adolescent Psychiatry Services Clinic",
"city": "Fort Belvoir",
"state": "VA",
"country_code": "US",
"postal_code": "220605285",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Belvoir, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.