THERESA GALE JONES MA, LCMHC, LCAS
NPI 1326248790
Counselor - Professional in Garner, NC
About Theresa Gale Jones Ma, Lcmhc, Lcas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA GALE JONES MA, LCMHC, LCAS (NPI 1326248790) is an individual professional provider in Garner, North Carolina, licensed in North Carolina (6651) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Theresa Gale Jones Ma, Lcmhc, Lcas 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.
Medicare Billing Reassignments
5Medicare enrollment records show Theresa Jones reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Raleigh, NC 27603
- Reassigned Medicare billing, North Carolina enrollment
- 260 clinicians in this Medicare group
Raleigh, NC 27610
- Reassigned Medicare billing, North Carolina enrollment
- 182 clinicians in this Medicare group
Raleigh, NC 27609
- Reassigned Medicare billing, North Carolina enrollment
- Also billed through NPI 1497912232 (North Carolina)
- 1,482 clinicians in this Medicare group
Cary, NC 27511
- Reassigned Medicare billing, North Carolina enrollment
- 37 clinicians in this Medicare group
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 92 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GARNER, NC 27529
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 Theresa Jones's NPI number?
The NPI number for Theresa Jones is 1326248790. It was assigned to this individual provider in the NPPES registry on July 23, 2007.
Where is Theresa Jones located?
Theresa Jones practices at 223 Us Highway 70 E Suite 150-A, Garner, NC 27529. The listed phone number is (919) 412-3960.
What is Theresa Jones's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Theresa Jones enrolled in Medicare?
Yes. Theresa 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 organizations bill Medicare for Theresa Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Jones reassigns Medicare benefits to 5 organizations: Monarch (Raleigh, NC), Wakemed (Raleigh, NC), Duke University Health System, Inc. (Raleigh, NC), Silver Linings For Seniors, Inc. (Cary, NC) and Lifesource Of North Carolina (Wilmington, NC). Each 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 Theresa Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Jones accept?
Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Theresa 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 Theresa Jones was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Theresa Gale Jones, MA, LCMHC, LCAS · NPI 1326248790
Professional provider in Garner, North Carolina. Individual provider, active in the CMS NPPES registry since July 23, 2007.
## Identity
- **NPI:** 1326248790 (Entity type: Individual)
- **Enumerated:** July 23, 2007
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6651 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 223 US HIGHWAY 70 E, SUITE 150-A, Garner, NC 27529-4071
- **Phone:** (919) 412-3960 · **Fax:** (919) 516-4252
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Monarch (NPI 1497530281, Raleigh, NC); Wakemed (NPI 1194907717, Raleigh, NC); Duke University Health System, Inc. (NPI 1477584894, Raleigh, NC); Silver Linings For Seniors, Inc. (NPI 1295124592, Cary, NC); Lifesource Of North Carolina (NPI 1811286156, Wilmington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** July 16, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1326248790) · Data from the CMS NPPES public registry.