Individual provider Active NPI

Roger Alan Jones, CSAC QP

  • Addiction (Substance Use Disorder) Counselor
  • Carrboro, NC
National Provider Identifier
1962776500
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2681 Issued in NC
Practice address
605 Jones Ferry Rd Apt DD6
Carrboro, NC 27510-2142
Phone
(919) 593-5233
NPI assigned
Feb 29, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2681 NC Primary

Addresses

Primary practice location

605 Jones Ferry Rd Apt DD6
Carrboro, NC 27510-2142

Mailing address

605 Jones Ferry Rd Apt DD6
Carrboro, NC 27510-2142
Phone (919) 593-5233

Other identifiers 1

IdentifierTypeStateIssuer
2681OtherNCNCSAPPB

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
2681NCMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1330473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1962776500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 JONES FERRY RD APT DD6",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102142",
            "telephone_number": "919-593-5233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 JONES FERRY RD APT DD6",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102142",
            "telephone_number": "919-593-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROGER",
        "middle_name": "ALAN",
        "credential": "CSAC QP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSAPPB",
            "identifier": "2681",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.