Jerard Lamarl Elliott

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

119 S 1St St Apt 103
Richmond, VA 23219-3760

Phone

(757) 404-1169

NPI assigned

Sep 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• MCV Associated Physicians

  • Anesthesiology Physician
  • Richmond, VA
  • NPI 1710959457
  Medicare reassignment NPD
• Cte Transportation Services LLC

  • Non-emergency Medical Transport (VAN)
  • Portsmouth, VA
  • NPI 1295374262
  NPD Authorized official
• Marathon Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Richmond, VA
  • NPI 1053913178
  NPD Authorized official

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725494400000",
    "number": "1104433622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S 1ST ST APT 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193760",
            "telephone_number": "757-404-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S 1ST ST APT 103",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232193760",
            "telephone_number": "757-404-1169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Sherwood Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232201210",
            "country_code": "US",
            "telephone_number": "804-828-3129",
            "fax_number": "804-628-1236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JERARD",
        "middle_name": "LAMARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Anne Elliott, OTR
• Charmaine Elliott, MD
• David C Elliott, M.D.
• Dustin Tyler Elliott, PHARMD
• Gregory R Elliott, M.D.
• Keith C Elliott, LCSW
• Kenneth Neil Elliott Jr.
• Lindsay Elliott, PA-C
• Marlin Dean Elliott
• Michael Elliott, RPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.