Jennifer Lynn Cecilione Herbst, PHD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810008673 Issued in VA

Practice address

1617 Monument Ave Ste 202
Richmond, VA 23220-2943

Phone

(804) 569-5254

NPI assigned

Oct 2, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1134947682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 MONUMENT AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202943",
            "telephone_number": "804-569-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 MONUMENT AVE STE 202",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232202943",
            "telephone_number": "804-569-5254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 N Lombardy St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232849100",
            "country_code": "US",
            "telephone_number": "732-687-7644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERBST",
        "first_name": "JENNIFER",
        "middle_name": "LYNN CECILIONE",
        "credential": "PHD, LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Murray Henss, RPH
• Justin Christopher Hepner, PA
• Clifford T Hepper, MD
• Charlotte Nathalie Heppner, MD
• Ashley Herbert, PA-C
• Matthew David Herczyk, MD
• Maggie E Heretick, DPT
• Heritage Adult Day Care Services, Inc.
• Heritage Living Inc
• Heritage Living Inc.

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.