MEDICARE: NINA RENEE JONES M.S., LSATP, LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701013710	VA
2	101YA0400X	Addiction (Substance Use Disorder) Counselor	8293-02-033	VA

General Provider Information

NPI Number	:	1316777006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA RENEE JONES M.S., LSATP, LPC

Provider Business Mailing Address
First Line	:	601 HIGH ST STE 102
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-3423
Country	:	US
Telephone Number	:	757-227-7665
Fax Number	:

Provider Business Practice Location Address
First Line	:	601 HIGH ST STE 102
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23704-3423
Country	:	US
Telephone Number	:	757-227-7665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2024
Last Update Date	:	03/11/2026

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