Provider Demographics
NPI:1437516630
Name:JONES, ONASSIS (MDIV, LPC)
Entity Type:Individual
Prefix:
First Name:ONASSIS
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:MDIV, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3957 PEACHTREE CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8315
Mailing Address - Country:US
Mailing Address - Phone:225-573-1415
Mailing Address - Fax:
Practice Address - Street 1:1300 ALVAR ST
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70117-5200
Practice Address - Country:US
Practice Address - Phone:225-573-1415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-20
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA6309OtherLICENSED PROFESSIONAL COUNSELOR
LAPLPC 6309OtherPROVISIONAL LICENSED PROFESSIONAL COUNSELOR