MS. CARMEN JONES LCSW
NPI 1194899757
Social Worker - Clinical in Harlan, KY

Active since November 17, 2006PECOS EnrolledAccepts Medicare Assignment
132 VILLAGE CENTER RD, HARLAN, KY 40831(606) 573-7771(606) 573-2809 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2024, Oct 21, 2019, Mar 17, 2018 and 1 more (4 updates tracked since 2018).

About Ms. Carmen Jones Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CARMEN JONES LCSW (NPI 1194899757) is an individual clinical provider in Harlan, Kentucky, licensed in Kentucky (3329) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hazard, and is a graduate of University Of Kentucky College Of Medicine (2002).

NPPES Registry Identity

NPI1194899757
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. CARMEN JONESCredential: LCSW
Location Address132 VILLAGE CENTER RDHarlan, KY 40831-1777
Mailing AddressPo Box 40Whitesburg, KY 41858-0040 · (606) 633-4823
Fax(606) 573-2809
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2002
Enumeration DateNovember 17, 2006
Last NPPES UpdateOctober 7, 20244 updates tracked since enumeration
NPPES CertifiedOctober 7, 2024
✔ NPI 1194899757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in KY · 3329
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
132 VILLAGE CENTER RD, Harlan, KY 40831

Secondary Practice Location 1

Location 1115 Rockwood LnHazard, KY 41701 · Phone (606) 436-5761 · Fax (606) 436-5797

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Carmen Jones Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173660164
PECOS Enrollment IDI20140321001468
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
132 VILLAGE CENTER RD
Harlan, KY 40831
  • Reassigned Medicare billing, Kentucky enrollment
  • 95 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40831 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
132 VILLAGE CENTER RD
HARLAN, KY 40831
Social Worker (Clinical)
132 VILLAGE CENTER RD
HARLAN, KY 40831
Family Medicine
132 VILLAGE CENTER RD
HARLAN, KY 40831
Counselor (Professional)
132 VILLAGE CENTER RD
HARLAN, KY 40831
Clinic/Center (Primary Care)
132 VILLAGE CENTER RD
HARLAN, KY 40831
Obstetrics & Gynecology
132 VILLAGE CENTER RD
HARLAN, KY 40831
Nurse Practitioner (Family)
132 VILLAGE CENTER RD
HARLAN, KY 40831
Pharmacy (Community/Retail Pharmacy)
132 VILLAGE CENTER RD
HARLAN, KY 40831

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carmen Jones's NPI number?

The NPI number for Carmen Jones is 1194899757. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Carmen Jones located?

Carmen Jones practices at 132 Village Center Rd, Harlan, KY 40831. The listed phone number is (606) 573-7771.

What is Carmen Jones's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Carmen Jones enrolled in Medicare?

Yes. Carmen Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Carmen Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Jones reassigns Medicare benefits to Mountain Comprehensive Health Corporation (Harlan, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Jones accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Carmen Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Jones was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.