FRED JONES CADCIII LPC NPI 1194806331

NPI Information

NPI: 1194806331
Provider Name: FRED JONES, CADCIII, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5303 W NORTH AVE
MILWAUKEE, WI
ZIP 53208
Phone: (414) 445-0997
Get Directions

Fred Jones, CADCIII, LPC is a professional counselor in Milwaukee, WI. Fred Jones, CADCIII, LPC NPI is 1194806331. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5303 W NORTH AVE
MILWAUKEE, WI
ZIP 53208
Phone: (414) 445-0997
Fax: (414) 445-0989

The enumeration date for this NPI number is 10/17/2006 and was last updated on 8/3/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	151	WISCONSIN	No
2	101YP2500X	Counselor	Professional	3220-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	151	OTHER	WISCONSIN	CADCIII
2	39736200	MEDICAID	WISCONSIN
3	3220-125	OTHER	WISCONSIN	LPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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