Active NPI
Nikka Jones
- Psychiatric/Mental Health Nurse Practitioner
- Warren, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 4704260988
- Practice address
- 12200 E 13 Mile Rd
Warren, MI 48093-3093 - Phone
- (586) 573-1810
- NPI assigned
- May 16, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 4704260988 | MI | Primary |
Addresses
Primary practice location
12200 E 13 Mile Rd
Warren, MI 48093-3093
Mailing address
1410 S Telegraph Rd
Bloomfield, MI 48302-0046
Phone (248) 456-8150
Other practice location 1
1410 S Telegraph Rd
Bloomfield, MI 48302-0046
Phone (248) 456-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, AZ, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3839 N 3Rd St
Suite 101
Phoenix, AZ 85012-2068
Phone (602) 285-9696
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704260988 | MI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Psychiatric/Mental Health | Current | Accepting new patients |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Serenity TMS Centers LLC | Current | Accepting new patients | |
| Trinity Psych Wellness LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Mind 247 Practice LLC | Current | Accepting new patients | |
| Northlight Counseling Associates Inc | Current | Accepting new patients | |
| Optum Behavioral Care of Colorado, P.C. | Current | Accepting new patients | |
| Integrated Physician Solutions PC | Past | Accepting new patients |
Locations
930 N Switzer Canyon Dr
Ste 104
Flagstaff, AZ 86001
Phone (480) 903-5550
1138 S Higley Rd
Mesa, AZ 85206
Phone (480) 325-3876
1220 S Higley Rd
Ste 201
Mesa, AZ 85206
Phone (480) 529-7125
4121 E Valley Auto Dr
Ste 1
Mesa, AZ 85206
4121 E Valley Auto Dr
Ste 122
Mesa, AZ 85206
Phone (602) 285-9696
10046 N Metro Pkwy W
Phoenix, AZ 85051
Phone (602) 674-5515
20950 N Tatum Blvd
Ste 380
Phoenix, AZ 85050
Phone (480) 389-1061
2355 E Camelback Rd
Ste 625
Phoenix, AZ 85016
Phone (480) 535-0363
2633 E Indian School Rd
Ste 360
Phoenix, AZ 85016
Phone (602) 285-9696
2728 N 24th St
Phoenix, AZ 85008
Phone (480) 482-7020
3839 N 3rd St
Ste 101
Phoenix, AZ 85012
Phone (480) 903-5550
3839 N 3rd St
Ste 101104
Phoenix, AZ 85012
Phone (602) 285-9696
1465 N Scottsdale Rd
Ste 400
Scottsdale, AZ 85257
9700 N 91st St
Ste A115
Scottsdale, AZ 85258
Phone (480) 922-1376
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333
1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506
Interoperability endpoints
- nikka.jones.1@28621.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba Northlight Counseling Associates of Arizona
- Clinical Psychologist
- Mesa, AZ
- NPI 1942070370
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
MI, Psychiatric/Mental Health, WA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Phoenix, AZ
- NPI 1902472467
-
- Mental Health Counselor
- Mesa, AZ
- NPI 1912943903
-
dba Serenity Mental Health Centers
- Psychiatry Physician
- Lehi, UT
- NPI 1710492095
AZ
-
dba Trinity Psych Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Scottsdale, AZ
- NPI 1720890734
-
- Psychiatry Physician
- Mesa, AZ
- NPI 1659089951
-
- Clinical Social Worker
- De Pere, WI
- NPI 1396622494
-
dba Elevate Mental Health
- Clinical Psychologist
- Show Low, AZ
- NPI 1568272698
-
- Home Health Agency
- Southfield, MI
- NPI 1992110662
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1962939454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 S TELEGRAPH RD",
"city": "BLOOMFIELD",
"state": "MI",
"postal_code": "483020046",
"telephone_number": "248-456-8150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 E 13 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480933093",
"telephone_number": "586-573-1810"
}
],
"practiceLocations": [
{
"address_1": "1410 S Telegraph Rd",
"address_purpose": "LOCATION",
"city": "Bloomfield",
"state": "MI",
"postal_code": "483020046",
"country_code": "US",
"telephone_number": "248-456-8150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "NIKKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-16",
"last_updated": "2022-07-21",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MI",
"license": "4704260988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, MI
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.