Healthcare Provider Details

I. General information

NPI: 1619815560
Provider Name (Legal Business Name): HEATHER CELESTE JONES PLPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: HEATHER CELESTE HERRING PLPC

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13160 COUNTY ROAD 3610
SAINT JAMES MO
65559-9151
US

IV. Provider business mailing address

PO BOX 492
ROLLA MO
65402-0492
US

V. Phone/Fax

Practice location:
  • Phone: 573-261-1361
  • Fax:
Mailing address:
  • Phone: 541-977-6656
  • Fax: 541-977-6656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2026011303
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: