Individual provider Active NPI

Jennifer Elaine Jenkins Boitnott, LPC, NCC

  • Professional Counselor
  • Richmond, VA
National Provider Identifier
1073852299
Registry record updated Aug 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006358 Issued in VA
Practice address
5318 Patterson Ave Ste C
Richmond, VA 23226-2044
Phone
(804) 217-2202
NPI assigned
Feb 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006358 VA Primary

Addresses

Primary practice location

5318 Patterson Ave Ste C
Richmond, VA 23226-2044

Mailing address

5318 Patterson Ave Ste C
Richmond, VA 23226-2044
Phone (804) 217-2202

Other names 1

  • Jennifer Elaine Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701006358VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Glass LLC Professional CurrentSince Aug 29, 2021 Accepting new patients
Richmond Creative Counseling, LLC Professional Past Accepting new patients

Locations

5318 Patterson Ave
Ste C
Richmond, VA 23226
Phone (804) 217-2202

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1073852299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 PATTERSON AVE STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262044",
            "telephone_number": "804-217-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5318 PATTERSON AVE STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232262044",
            "telephone_number": "804-217-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS BOITNOTT",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-07",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JENKINS",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.