Organization Active NPI

Jones Avenue LLC

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1891120507
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
JONES AVENUE LLC
Practice address
58 S Park SQ NE
Ste J
Marietta, GA 30060-8608
Phone
(470) 865-4270
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Renee Jones, LPC
Title
Owner
Phone
(470) 865-4270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

58 S Park SQ NE
Ste J
Marietta, GA 30060-8608

Mailing address

58 S Park SQ NE
Ste I
Marietta, GA 30060-8608

National Provider Directory

National Provider Directory

Locations

58 S Park Sq NE
Ste J
Marietta, GA 30060
Phone (470) 865-4270

58 S Park Sq NE
Ste I
Marietta, GA 30060

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1891120507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 S PARK SQ NE",
            "address_2": "STE I",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 S PARK SQ NE",
            "address_2": "STE J",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300608608",
            "telephone_number": "470-865-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES AVENUE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-865-4270",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2013; 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.