Juniper Tree LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

JUNIPER TREE LLC

Practice address

1119 Lakeview Dr
Portsmouth, VA 23701-3610

Phone

(757) 619-0658

NPI assigned

Sep 30, 2025

Last updated

Sep 30, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andre Lamont Powell Sr., DMIN

Title

Ceo

Phone

(757) 619-0658

Specialties & licenses 1

Addresses

Tax ID family

Juniper Tree LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Juniper Tree LLC

  • Counselor
  • Portsmouth, VA
  • NPI 1437674900
  NPD tax ID

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1043184484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1119 LAKEVIEW DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013610",
            "telephone_number": "757-619-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 LAKEVIEW DR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237013610",
            "telephone_number": "757-619-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNIPER TREE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-619-0658",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joynes Family & Wellness Clinic LLC
• Roshawn Nicole Joynes, FNP
• JQ Adult Services, LLC
• Jream Mobility LLC
• Jream's Come True LLC (Jream's Come True Housing Services)
• Juniper Tree LLC
• K Hill LLC (Comfort Home Health Care)
• K.E.E.P.S Housing LLC (NA)
• K& S Loving Hands LLC
• Megan Elizabeth Kachur, M.D.

• Counselor in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.