Individual provider Active NPI

Brian Ellis Jones, MED, LMHC

  • Mental Health Counselor
  • Seattle, WA
National Provider Identifier
1851863658
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60880225 Issued in WA
Practice address
1417 NW 54TH St Ste 332
Seattle, WA 98107-3574
Phone
(440) 364-0030
NPI assigned
Dec 19, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60880225 WA Primary

Addresses

Primary practice location

1417 NW 54TH St Ste 332
Seattle, WA 98107-3574

Mailing address

1417 NW 54TH St Ste 332
Seattle, WA 98107-3574
Phone (440) 364-0030

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 Education

State licenses

LicenseStateTypeSpecialty
MC60880225WAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1545177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1851863658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 332",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073574",
            "telephone_number": "440-364-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 NW 54TH ST STE 332",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073574",
            "telephone_number": "440-364-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRIAN",
        "middle_name": "ELLIS",
        "name_prefix": "Mr.",
        "credential": "MED, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-19",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60880225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.