NPIMap

Organization Active NPI

Jeremiah Foundation Inc

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1194030874
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904004489 Issued in VA
Legal business name
JEREMIAH FOUNDATION INC
Practice address
9513 Hull Street Rd Ste a
North Chesterfield, VA 23236-1495
Phone
(804) 608-9389
Fax
(804) 763-3453
NPI assigned
Aug 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Jennifer Ann Kell, LCSW
Title
Executive Director
Phone
(804) 608-9389

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904004489 VA Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

9513 Hull Street Rd Ste a
North Chesterfield, VA 23236-1495

Mailing address

PO Box 4504
Midlothian, VA 23112-0010
Phone (804) 399-1993

Other names 2

  • Inner Touch Doing business as
  • Robin's Hope Doing business as

National Provider Directory

National Provider Directory

Locations

9515 Winterpock Rd
Chesterfield, VA 23832
Phone (804) 399-1993

9513 Hull Street Rd
Ste A
North Chesterfield, VA 23236
Phone (804) 317-5710

9505 Hull Street Rd
Ste C
North Chesterfield, VA 23236
Phone (804) 608-9597

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1194030874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4504",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120010",
            "telephone_number": "804-399-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9513 HULL STREET RD STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361495",
            "telephone_number": "804-608-9389",
            "fax_number": "804-763-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMIAH FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-18",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "KELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "804-608-9389",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904004489",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Touch",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Robin's Hope",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.