Jennifer Surratt, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0904006860 Issued in VA

Practice address

8100 Three Chopt Rd RM 101
Richmond, VA 23229-4833

Phone

(804) 354-1881

NPI assigned

Oct 28, 2021

Last updated

Oct 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coordinators2Inc

  • Foster Care Agency
  • Richmond, VA
  • NPI 1366859050
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1033873781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 THREE CHOPT RD RM 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294833",
            "telephone_number": "804-354-1881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 THREE CHOPT RD RM 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294833",
            "telephone_number": "804-354-1881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-28",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0904006860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsurratt@c2adopt.org",
            "affiliation": "N",
            "address_1": "8100 Three Chopt Rd Rm 101",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232294833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Annika Surya Surapaneni, MD
• Suresh Gharse, MD
• Bangalore Suresh, MD
• Surgical Assist,L.L.C.
• Pawan Suri, M.D.
• Aubree Jonelle Surrency, CCC-SLP
• Susan a Osofsky, LCSW, Inc.
• Susan M Gardner LCSW LLC (Institute of Insight and Agency)
• Susan Moore, Ms Rd LLC (Susan Moore, MS RD LLC & Associates)
• Jennifer D Sushkoff, LCSW

• Mental Health Counselor in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.