Individual provider Active NPI

Kristen Songstad Jones, DPC, LPC, NCC

  • Professional Counselor
  • Madison, MS
National Provider Identifier
1861883357
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1930 Issued in MS
Practice address
2085 Main St
Madison, MS 39110-8520
Phone
(601) 405-7440
NPI assigned
Feb 5, 2015
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1930 MS Primary

Addresses

Primary practice location

2085 Main St
Madison, MS 39110-8520

Mailing address

1510 Tracewood Dr
Jackson, MS 39211
Phone (769) 972-1986

Other identifiers 1

IdentifierTypeStateIssuer
1059921OtherMSBLUE CROSS BLUE SHIELD MISSISSIPPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 23, 2024 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1930MSMDKinesiotherapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Professional Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1861883357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 TRACEWOOD DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "769-972-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 MAIN ST",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391108520",
            "telephone_number": "601-405-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KRISTEN",
        "middle_name": "SONGSTAD",
        "name_prefix": "Dr.",
        "credential": "DPC, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MISSISSIPPI",
            "identifier": "1059921",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

Verify at the official NPI Registry.