Individual provider Active NPI

Nikka Jones

  • Psychiatric/Mental Health Nurse Practitioner
  • Warren, MI
National Provider Identifier
1962939454
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704260988 Issued in MI
Practice address
12200 E 13 Mile Rd
Warren, MI 48093-3093
Phone
(586) 573-1810
NPI assigned
May 16, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200212001539 MI Practitioner - Nurse Practitioner 4082040928 Reassigns benefits to 1 organization
I20210819003588 AZ Practitioner - Nurse Practitioner 4082040928 Reassigns benefits to 4 organizations
Practice locations: Scottsdale, AZ
I20250530001600 WA Practitioner - Nurse Practitioner 4082040928 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
4704260988MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 7, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 25, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Nov 25, 2024 Accepting new patients
Mind 247 Practice LLC CurrentSince Dec 19, 2022 Accepting new patients
Serenity TMS Centers LLC CurrentSince Sep 10, 2021 Accepting new patients
Trinity Psych Wellness LLC Psychiatric/Mental Health CurrentSince Feb 19, 2025 Accepting new patients
Mind 247 Practice LLC CurrentSince Dec 19, 2022 Accepting new patients
Northlight Counseling Associates Inc CurrentSince Feb 12, 2022 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
Integrated Physician Solutions PC PastSince Dec 23, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.