Active NPI
Wade Girard Jones, LPCMH, LCDP, CADC
- Mental Health Counselor
- Millsboro, DE
National Provider Identifier
1881920072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PC-0000625
- Practice address
- 1003 Houston Acres
Millsboro, DE 19966-3568 - Phone
- (302) 542-3586
- Fax
- (866) 648-7571
- NPI assigned
- Oct 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PC-0000625 | DE | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CD-0000050 | DE |
Addresses
Primary practice location
1003 Houston Acres
Millsboro, DE 19966-3568
Mailing address
PO Box 2015
1003 Houston Acres
Millsboro, DE 19966-8015
Phone (302) 542-3586
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CD-0000050 | DE | MD | Addiction (Substance Use Disorder) Counselor |
| PC-0000625 | DE | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1881920072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2015",
"address_2": "1003 HOUSTON ACRES",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199668015",
"telephone_number": "302-542-3586",
"fax_number": "866-648-7571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 HOUSTON ACRES",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199663568",
"telephone_number": "302-542-3586",
"fax_number": "866-648-7571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WADE",
"middle_name": "GIRARD",
"credential": "LPCMH, LCDP, CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-23",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DE",
"license": "PC-0000625",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "DE",
"license": "CD-0000050",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.