Healthcare Provider Details

I. General information

NPI: 1295642924
Provider Name (Legal Business Name): AMBER NICOLE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

969 READING RD
MASON OH
45040-2654
US

IV. Provider business mailing address

969 READING RD
MASON OH
45040-2654
US

V. Phone/Fax

Practice location:
  • Phone: 513-445-9688
  • Fax: 513-486-1007
Mailing address:
  • Phone: 513-445-9688
  • Fax: 513-486-1007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2607539-TRNE
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: