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MR. JACK JONES
NPI 1356682165
Social Worker - Clinical in Little Rock, AR

Active since March 05, 2013PECOS EnrolledAccepts Medicare Assignment
11700 KANIS RD, SUITE 2, LITTLE ROCK, AR 72211(501) 221-1941(501) 221-1553 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2021, Feb 22, 2016 (2 updates tracked since 2016).

About Mr. Jack Jones NPPES

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

MR. JACK JONES (NPI 1356682165) is an individual clinical provider in Little Rock, Arkansas and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1356682165
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JACK JONES
Location Address11700 KANIS RD, SUITE 2Little Rock, AR 72211-3729
Mailing Address11700 Kanis Rd, Suite 2Little Rock, AR 72211-3729 · (501) 221-1941 · Fax (501) 221-1553
Phone(501) 221-1941
Fax(501) 221-1553
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 5, 2013
Last NPPES UpdateMarch 3, 20212 updates tracked since enumeration
NPPES CertifiedMarch 3, 2021
✔ NPI 1356682165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
11700 KANIS RD, Little Rock, AR 72211
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jack Jones 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 ID9436409133
PECOS Enrollment IDI20180829004470
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72211 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 $51.36 – $157.74
Typical copayment $0.00 (range $12.84 – $39.43)
Most-billed visit code NA
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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 12

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

FREDA WILLIAMS
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
NICHOLAS WHITE RECOVERY ASSISTANT
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
ROLANDO GARCIA CMP
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
TOSHA HALL
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
JODI LAWSON RECOVERY ASSISTANT
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
MS. LAPORSHA A. TENNER
Counselor
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
INDIA DILLARD
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941
DARYL BUTLER
Case Manager/Care Coordinator
11700 KANIS RD, SUITE 2
LITTLE ROCK, AR 72211
Pulaski County (501) 221-1941

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 Jack Jones's NPI number?

The NPI number for Jack Jones is 1356682165. It was assigned to this individual provider in the NPPES registry on March 5, 2013.

Where is Jack Jones located?

Jack Jones practices at 11700 Kanis Rd Suite 2, Little Rock, AR 72211. The listed phone number is (501) 221-1941.

What is Jack Jones's specialty?

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

Is Jack Jones enrolled in Medicare?

Yes. Jack 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.

What insurance does Jack Jones accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 2 other insurers list Jack 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 Jack Jones was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.