Individual provider Active NPI

Jennifer Z Lecrone, PH.D.

  • Counseling Psychologist
  • Midlothian, VA
National Provider Identifier
1053533901
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
0810005187 Issued in VA
Practice address
201 Wylderose CMNS
Suite 200a
Midlothian, VA 23113-6909
Phone
(804) 293-0331
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 0810005187 VA Primary
Counseling Psychologist 103TC1900X PY 7465 FL

Addresses

Primary practice location

201 Wylderose CMNS
Suite 200a
Midlothian, VA 23113-6909

Mailing address

201 Wylderose CMNS
Suite 200a
Midlothian, VA 23113-6909
Phone (804) 293-0331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 14, 2017 through Aug 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY 7465FLMDCounseling Psychologist
0810005187VAMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1053533901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 WYLDEROSE CMNS",
            "address_2": "SUITE 200A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136909",
            "telephone_number": "804-293-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WYLDEROSE CMNS",
            "address_2": "SUITE 200A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136909",
            "telephone_number": "804-293-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECRONE",
        "first_name": "JENNIFER",
        "middle_name": "Z",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0810005187",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY 7465",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.