Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jack Jones

Individual provider Mental Health Counselor · NPI 1356682165

Mr. Jack Jones is a Clinical Social Worker in Little Rock, Arkansas. Qualified in 2005, 21 years ago. Practices with Inspiration Day Treatment, Inc, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
21
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

11700 Kanis Rd Ste 2
Little Rock, AR 72211-3729
Phone: (501) 221-1941
Fax: (501) 221-1553
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1356682165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 5, 2013
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Inspiration Day Treatment, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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