Lett Medical Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

LETT MEDICAL GROUP LLC

Practice address

6960 Forest Hill Ave Ste B
Richmond, VA 23225-1606

Phone

(804) 219-9519

Fax

(804) 293-3934

NPI assigned

Oct 7, 2022

Organization subpart

No

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

Authorized official

Name

Dexter S Lett, PMHNP-BCNPI 1245756964

Title

Owner

Phone

(804) 219-9519

Specialties & licenses 1

Addresses

Other names 1

• Lett Medical Group, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

Practitioners 3

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

• Dexter Shabazz Lett, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Richmond, VA
  • NPI 1245756964

  Psychiatric/Mental Health, VA

  Medicare reassignment NPD Authorized official
• Reba James

  • Clinical Social Worker
  • North Chesterfield, VA
  • NPI 1659845436
  NPD
• Susan M Kohler LPC LLC, LPC

  • Professional Counselor
  • Richmond, VA
  • NPI 1588828040
  NPD

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1194440503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 WINESAP DR",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232315147",
            "telephone_number": "804-219-9519",
            "fax_number": "804-293-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 FOREST HILL AVE STE B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232251606",
            "telephone_number": "804-219-9519",
            "fax_number": "804-293-3934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LETT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "DEXTER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-219-9519",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lett Medical Group, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corey A Lester, PHARMD
• Denise Deshields Lester, M.D.
• Sarah Vance Lester, RDH
• David J Leszczyszyn, M.D.
• Lindsey C Letlow, DO
• Dexter Shabazz Lett, PMHNP-BC
• James L Levenson, M.D.
• Zoe Amanda Levenson, LCSW
• Alexander Taylor Leverty, LCSW
• Levi 2 LLC

• All providers in Richmond, VA
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.