Thomas Jaynes, CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

11134 Issued in IA

Practice address

1800 Grandview Blvd
Sioux City, IA 51105-1026

Phone

(712) 258-4776

Fax

(712) 224-2169

NPI assigned

Mar 25, 2016

Last updated

Mar 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Jackson Recovery Centers, Inc.

  dba Child and Adolescent Recovery Hospital Crisis and Stabilization Unit

  • Children's Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1770966491
  NPD (past)
• Jackson Recovery Centers, Inc.

  dba Rosecrance Jackson Centers

  • Substance Abuse Rehabilitation Facility
  • Sioux City, IA
  • NPI 1811994973
  NPD (past)

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1891157137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GRANDVIEW BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051026",
            "telephone_number": "712-258-4776",
            "fax_number": "712-224-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GRANDVIEW BLVD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511051026",
            "telephone_number": "712-258-4776",
            "fax_number": "712-224-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNES",
        "first_name": "THOMAS",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-25",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "11134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James R Froggatt MD, PC
• James W. Roat, M.D., P.C.
• Christine Marie James, OD
• Yoosan Dalu Jarso
• Chandana Javvaji, M.D.
• Jeannie Franklin
• Jeffrey M Jernberg, D.C., P.C.
• Don Christopher Jeffries Sr.
• Jennifer Jelken, RN
• Melissa Jenkins, LMHC

• Addiction (Substance Use Disorder) Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Addiction (Substance Use Disorder) Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2016; 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.