Individual provider Active NPI

Connie Jones

  • Professional Counselor
  • Greenbelt, MD
National Provider Identifier
1992248751
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6689 Issued in MD
Practice address
7303 Hanover Pkwy
Suite C
Greenbelt, MD 20770-2029
Phone
(240) 758-2142
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

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 LC6689 MD Primary

Addresses

Primary practice location

7303 Hanover Pkwy
Suite C
Greenbelt, MD 20770-2029

Mailing address

7303 Hanover Pkwy
Suite C
Greenbelt, MD 20770-2029

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
LC6689MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Therapeutics, LLC CurrentSince Feb 6, 2022 Accepting new patients

Locations

7303 Hanover Pkwy
Ste C
Greenbelt, MD 20770
Phone (301) 441-2525

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1992248751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7303 HANOVER PKWY",
            "address_2": "SUITE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7303 HANOVER PKWY",
            "address_2": "SUITE C",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702029",
            "telephone_number": "240-758-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CONNIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2022; 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.