Active NPI
Jennifer Z Lecrone, PH.D.
- Counseling Psychologist
- Midlothian, VA
National Provider Identifier
1053533901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0810005187
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PY 7465 | FL | MD | Counseling Psychologist |
| 0810005187 | VA | MD | Counseling 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.