Active NPI
Nichole Ernestine Jones, LCPC
- Mental Health Counselor
- Silver Spring, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH14398
- Practice address
- 1500 Forest Glen Rd
Silver Spring, MD 20910-1483 - Phone
- (301) 754-7860
- Fax
- (301) 754-7172
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH14398 | FL | Primary |
Addresses
Primary practice location
1500 Forest Glen Rd
Silver Spring, MD 20910-1483
Mailing address
107 Aston Grande Drive
Daytona Beach
Daytona Beach, FL 32124
Phone (202) 669-9528
Other practice location 1
725 N 12th Ave Bldg B
Arcadia, FL 34266-8752
Phone (863) 494-1242
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| 3Am Counseling Services, LLC | Mental Health | Current | Accepting new patients |
| MCR Health, Inc. | Current | Accepting new patients | |
| Balanced Wellbeing LLC | Current | Accepting new patients | |
| Sailor Health Medical PA | Mental Health | Current | Accepting new patients |
| Shashita Inamdar MD Professional Corporation | Past | Accepting new patients |
Locations
725 N 12th Ave
Bldg B
Arcadia, FL 34266
Phone (863) 494-1242
201 S Biscayne Blvd
Ste 2867
Miami, FL 33131
Phone (786) 269-0333
3200 SW 34th Ave
Ste 701
Ocala, FL 34474
Phone (354) 445-1200
12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231
Interoperability endpoints
- nichole.jones.p1@direct.sokya.nextgenshare.com
Organizations & group practices 6
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.
-
- Mental Health Counselor
- Kissimmee, FL
- NPI 1447835400
-
- Psychiatry Physician
- Ocala, FL
- NPI 1336513639
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
dba Riverside Medical Center
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Psychiatry Physician
- San Diego, CA
- NPI 1902220809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1851606990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 ASTON GRANDE DRIVE",
"address_2": "DAYTONA BEACH",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "32124",
"telephone_number": "202-669-9528",
"fax_number": "301-754-7504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 FOREST GLEN RD",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209101483",
"telephone_number": "301-754-7860",
"fax_number": "301-754-7172"
}
],
"practiceLocations": [
{
"address_1": "725 N 12th Ave Bldg B",
"address_purpose": "LOCATION",
"city": "Arcadia",
"state": "FL",
"postal_code": "342668752",
"country_code": "US",
"telephone_number": "863-494-1242",
"fax_number": "863-999-0108",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "NICHOLE",
"middle_name": "ERNESTINE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH14398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.