1376577957 NPI number — JAIME JONES LCSW

Table of content: JAIME JONES LCSW (NPI 1376577957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376577957 NPI number — JAIME JONES LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
JAIME
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MONTGOMERY
Provider Other First Name:
JAIME
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1376577957
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/15/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 E 6TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BELTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76513-2651
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
254-598-0548
Provider Business Mailing Address Fax Number:
877-256-0723

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
114 E 6TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BELTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76513-2651
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-598-0548
Provider Business Practice Location Address Fax Number:
877-256-0723
Provider Enumeration Date:
07/10/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  5104 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 51074 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)