Provider Demographics
NPI:1417977547
Name:JONES, NANCY KAY (LPC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:KAY
Last Name:JONES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2745 HIGH RIDGE BLVD
Mailing Address - Street 2:SUITE 13
Mailing Address - City:HIGH RIDGE
Mailing Address - State:MO
Mailing Address - Zip Code:63049-2200
Mailing Address - Country:US
Mailing Address - Phone:314-740-4942
Mailing Address - Fax:314-962-9199
Practice Address - Street 1:2745 HIGH RIDGE BLVD
Practice Address - Street 2:SUITE 13
Practice Address - City:HIGH RIDGE
Practice Address - State:MO
Practice Address - Zip Code:63049-2200
Practice Address - Country:US
Practice Address - Phone:314-740-4942
Practice Address - Fax:314-962-9199
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO000180101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO201018OtherBLUE CROSS/BLUE SHEILD