MEDICARE: JOHN R JONES JR LMHC PA

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1407783228
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN R JONES JR LMHC PA

Provider Business Mailing Address
First Line	:	248 SOUTHPARK CIR E
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-5137
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	248 SOUTHPARK CIR E
Second Line	:
City	:	SAINT AUGUSTINE
State	:	FL
Zip	:	32086-5137
Country	:	US
Telephone Number	:	904-797-5680
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN R JOHN R. JONES JR.
Credential	:
Telephone Number	:	904-797-5680

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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