MRS. CAROLYN CLAYTON JONES M.A. LMFT. LCDC, CEA
NPI 1164156147
Exclusive Provider Organization in Houston, TX
NPI Status: Active since July 14, 2022
Contact Information
ONE RIVERWAY 17TH FLOOR SUITE 1700
HOUSTON, TX
ZIP 77056
Phone: (832) 978-7579
- Individual
- Female
- Exclusive Provider Organization
- Accepts Insurance
About CAROLYN JONES
This page provides the complete NPI Profile along with additional information for Carolyn Jones, a provider established in Houston, Texas with a medical specialization in Exclusive Provider Organization. The healthcare provider is registered in the NPI registry with number 1164156147 assigned on July 2022. The practitioner's primary taxonomy code is 302F00000X with license number LMFT2875 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.
- NPI
- 1164156147
- Provider Name
- MRS. CAROLYN CLAYTON JONES M.A. LMFT. LCDC, CEA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- ONE RIVERWAY 17TH FLOOR SUITE 1700 HOUSTON, TX 77056
- Location Phone
- (832) 978-7579
- Mailing Address
- PO BOX 56694 HOUSTON, TX 77256
- Mailing Phone
- (832) 978-7579
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2022
- Last Update Date
- 07-14-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Exclusive Provider Organization
- Taxonomy Code
- 302F00000X
- Type
- Managed Care Organizations
- License No.
- LMFT2875
- License State
- TX
- Taxonomy Description
- (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Reviews for MRS. CAROLYN CLAYTON JONES M.A. LMFT. LCDC, CEA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 6 | 4 | 1 | 5 | 6 | 1 | 4 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 12 | 4 | 2 | 5 | 12 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 2 + 4 + 2 + 5 + 1 + 2 + 1 + 8 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1164156147 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164156147, enumerated as an "individual" on July 14, 2022.
The provider is located at ONE RIVERWAY 17TH FLOOR SUITE 1700 HOUSTON, TX 77056 and the phone number is (832) 978-7579.
Exclusive Provider Organization with taxonomy code 302F00000X.
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to verify.
