Jenelle Drake, MA, LMFT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701010840 Issued in VA

Practice address

309 Willow Bend CT
Chesapeake, VA 23323-1057

Phone

(401) 595-0624

NPI assigned

Aug 22, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jenelle Monet Debeaulieu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

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.

• Coastal Counseling Center Inc

  • Mental Health Counselor
  • Chesapeake, VA
  • NPI 1639264112
  NPD
• Ronald W. Atwood, M.D., P.C.

  • Family Medicine Physician
  • Chesapeake, VA
  • NPI 1982637575
  NPD (past)

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1134674971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 WILLOW BEND CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231057",
            "telephone_number": "401-595-0624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WILLOW BEND CT",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233231057",
            "telephone_number": "401-595-0624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "JENELLE",
        "credential": "MA, LMFT, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-22",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF8720",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701010840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENELLE",
            "last_name": "DEBEAULIEU",
            "middle_name": "MONET",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dr. Robert M. Edmonds, LTD.
• Dr. Tonya D. Eady, PC
• Dr. Veronica B. Sullivan, OD, PLLC
• Dr.'S Fritz & Olson, P.C.
• Dr.Jamesl Singletonjr DPM
• Robin L Drees, M.S., CF-SLP
• Jessica Gabriel Driscoll, M.S., CCC-SLP
• DRS Bussey Mayo & Archer LTD
• DRS Bussey Mayo Archer LTD
• DRS. Moreschell & Wright, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.