Active NPI
Olivia M Jones
- Professional Counselor
- Fayetteville, AR
National Provider Identifier
1982943221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1503017
- Practice address
- 2984 McKee Circle
Fayetteville, AR 72703 - Phone
- (479) 268-4557
- NPI assigned
- Feb 6, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A1301006 | AR | |
| Marriage & Family Therapist | 106H00000X | A1301007 | AR | |
| Professional Counselor | 101YP2500X | P1503017 | AR | Primary |
Addresses
Primary practice location
2984 McKee Circle
Fayetteville, AR 72703
Mailing address
2098 Stonebrook St.
Springdale, AR 72762
Phone (970) 948-5682
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A1301006 | Other | AR | LAC |
| A1301007 | Other | AR | LAMFT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A1301006 | AR | MD | Professional Counselor |
| P1503017 | AR | MD | Professional Counselor |
| A1301007 | AR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430870400000",
"number": "1982943221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2098 STONEBROOK ST.",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "72762",
"telephone_number": "970-948-5682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2984 MCKEE CIRCLE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-268-4557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "OLIVIA",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2015-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "A1301006",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AR",
"license": "A1301007",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1503017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAC",
"identifier": "A1301006",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAMFT",
"identifier": "A1301007",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.