Individual provider Active NPI

Jennifer Rae Jones, PH.D.

  • Psychologist
  • Frisco, TX
National Provider Identifier
1952761660
Registry record updated Feb 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
37181 Issued in TX
Practice address
7104 Napa Valley Dr
Frisco, TX 75035-6119
Phone
(972) 935-3490
NPI assigned
Feb 24, 2016
Last updated
Feb 24, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 37181 TX Primary

Addresses

Primary practice location

7104 Napa Valley Dr
Frisco, TX 75035-6119

Mailing address

7104 Napa Valley Dr
Frisco, TX 75035-6119
Phone (972) 935-3492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909003835 TX Practitioner - Clinical Psychologist 5496084915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Ludden Group PCGroup PAC ID 6507000726, 5 clinicians

Practice addresses (Care Compare)

935 W Ralph Hall Pkwy
Suite 105
Rockwall, TX 75032-8707
Phone (972) 772-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37181TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Ludden Group, P.C. CurrentSince Jun 1, 2019 Accepting new patients
Lattie Psychological Associates PLLC PastSince Jun 1, 2019 Accepting new patients

Locations

935 W Ralph Hall Pkwy
Ste 105
Rockwall, TX 75032
Phone (972) 742-7679

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1456272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456272000000",
    "number": "1952761660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7104 NAPA VALLEY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356119",
            "telephone_number": "972-935-3492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7104 NAPA VALLEY DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750356119",
            "telephone_number": "972-935-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JENNIFER",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-24",
        "last_updated": "2016-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.