Jennifer Speed Byrnes, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006184 Issued in VA

Practice address

501 Church St NE Ste 106
Vienna, VA 22180-4734

Phone

(720) 320-9059

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jennifer Brooke Speed Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jun 4, 2024 through Jun 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1043596356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2924",
            "city": "LA PLATA",
            "state": "MD",
            "postal_code": "206462984",
            "telephone_number": "301-609-9887",
            "fax_number": "301-609-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHURCH ST NE STE 106",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804734",
            "telephone_number": "720-320-9059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3307 Duke St",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144522",
            "country_code": "US",
            "telephone_number": "720-320-9059",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23507 Hollywood Rd",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Leonardtown",
            "state": "MD",
            "postal_code": "206505833",
            "country_code": "US",
            "telephone_number": "301-475-8860",
            "fax_number": "301-475-3843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "JENNIFER",
        "middle_name": "SPEED",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561803",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "SPEED",
            "middle_name": "BROOKE",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tatiana Busu, MD
• Christina Marie Buswell, LICSW
• Kathleen Krupka Butler, LPC
• Ava Button
• Valerie Josephine Buyse
• C. Richard Snively, Jr., O.D.,P.C.
• Anamaria Cabel
• Barbara Caceres, LCSW
• Melanie Caine
• Isabella Calvi Nunes

• Professional Counselor in Vienna, VA
• Providers in Vienna, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.