Individual provider Active NPI

Phyllis J. Jones, LPC

  • Professional Counselor
  • Midlothian, VA
National Provider Identifier
1972749562
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701001486 Issued in VA
Practice address
4920 Millridge Pkwy E
Ste 206
Midlothian, VA 23112-4857
Phone
(804) 378-5263
NPI assigned
Jan 2, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701001486 VA Primary

Addresses

Primary practice location

4920 Millridge Pkwy E
Ste 206
Midlothian, VA 23112-4857

Mailing address

4920 Millridge Pkwy E
Ste 206
Midlothian, VA 23112-4857
Phone (804) 378-5263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240501001767 VA Practitioner - Mental Health Counselor 8729213277 Practice locations: Midlothian, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2240 Castlebridge Rd
Midlothian, VA 23113-4009
Phone (804) 432-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1972749562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 MILLRIDGE PKWY E",
            "address_2": "STE 206",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124857",
            "telephone_number": "804-378-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 MILLRIDGE PKWY E",
            "address_2": "STE 206",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124857",
            "telephone_number": "804-378-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PHYLLIS",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701001486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.