Jaclyn Jones

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

015076 Issued in NY

Practice address

595 Albert St
East Meadow, NY 11554-4947

Phone

(516) 456-9665

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

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

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1871327866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 ALBERT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544947",
            "telephone_number": "516-456-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 ALBERT ST",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115544947",
            "telephone_number": "516-456-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JACLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vinod Thomas John, P.T.
• Adela Johnson, M.D.
• Celeste M Johnson, LMSW
• Joanne Johnson
• Sheryl Melissa Johnson, L.M.T.
• Veena Sooraj Jose
• Joseph Albert Buenahora
• Irene Ann Joseph, MD
• Jeffrey Joseph
• Nisha Joseph, NP

• Mental Health Counselor in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.