Provider Demographics
NPI:1164396768
Name:JONES, KENNETH JONES, (RMHCI, MMHC)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:JONES,
Last Name:JONES
Suffix:
Gender:M
Credentials:RMHCI, MMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 NW 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4107
Mailing Address - Country:US
Mailing Address - Phone:954-330-1972
Mailing Address - Fax:754-201-3090
Practice Address - Street 1:7710 NW 71ST CT STE 301
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2932
Practice Address - Country:US
Practice Address - Phone:954-330-1972
Practice Address - Fax:754-201-3090
Is Sole Proprietor?:No
Enumeration Date:2025-10-06
Last Update Date:2025-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH27439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health