Carol Jean Jones, Q.M.H.P

Primary specialty

ContractorTaxonomy code 171W00000X

Practice address

161 Mitchell Blvd
Ste. #101
San Rafael, CA 94903-2068

Phone

(415) 507-2824

Fax

(415) 499-3080

NPI assigned

Oct 25, 2006

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

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942385547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 SAN PABLO AVE APT 417",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946084363",
            "telephone_number": "415-424-7586",
            "fax_number": "415-499-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MITCHELL BLVD",
            "address_2": "STE. #101",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032068",
            "telephone_number": "415-507-2824",
            "fax_number": "415-499-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "Q.M.H.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Dwayne Johnson
• Sharon Johnson, LCSW
• Sonya Renee Johnson, LVN
• Stephanie Monique Johnson
• Virginia Gail Johnson, M.F.T.
• Jeannette Louise Jones, MFT
• Labaren Terrell Jones
• Palleisha Jones
• Sarah Wynne Jones, MA
• Teja Jones

• Contractor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Contractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.