Individual provider Active NPI

Douglas E Jones, LMHC, LSP

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1912457482
Registry record updated Oct 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH1271 Issued in FL
Practice address
4590 Isabella Ingram Dr
Pensacola, FL 32504-5032
Phone
(850) 619-5631
Fax
(850) 308-7977
NPI assigned
Oct 9, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH1271 FL Primary
School Psychologist 103TS0200X SS185 FL

Addresses

Primary practice location

4590 Isabella Ingram Dr
Pensacola, FL 32504-5032

Mailing address

4590 Isabella Ingram Dr
Pensacola, FL 32504-5032
Phone (850) 619-5631

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH1271FLMDMental Health Counselor
SS185FLMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Centre, Inc. Mental Health 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475971200000",
    "number": "1912457482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 ISABELLA INGRAM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045032",
            "telephone_number": "850-619-5631",
            "fax_number": "850-308-7977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 ISABELLA INGRAM DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325045032",
            "telephone_number": "850-619-5631",
            "fax_number": "850-308-7977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DOUGLAS",
        "middle_name": "E",
        "credential": "LMHC, LSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-09",
        "last_updated": "2016-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1271",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "FL",
            "license": "SS185",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.