Provider Demographics
NPI:1487495073
Name:JONES, SIMON (LMFT)
Entity type:Individual
Prefix:
First Name:SIMON
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 WEST AVE UNIT 113197
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06911-7771
Mailing Address - Country:US
Mailing Address - Phone:646-372-3748
Mailing Address - Fax:
Practice Address - Street 1:27 BROADWAY TER APT 3B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-4713
Practice Address - Country:US
Practice Address - Phone:646-372-3748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002294106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist