Individual provider Active NPI

Jessica Ann Kirchhoefer, PHD

  • Counselor
  • Washington, DC
National Provider Identifier
1205236858
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1634 I St NW Ste 550
Washington, DC 20006-4069
Phone
(571) 249-4403
Fax
(801) 375-4241
NPI assigned
Sep 2, 2014
Last updated
Sep 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary
Mental Health Counselor 101YM0800X 0810007368 VA
Mental Health Counselor 101YM0800X PSY200001275 DC

Addresses

Primary practice location

1634 I St NW Ste 550
Washington, DC 20006-4069

Mailing address

1634 I St NW Ste 550
Washington, DC 20006-4069
Phone (571) 249-4403

Other practice location 1

4401 Fairfax Dr Ste 205
Arlington, VA 22203-1622
Phone (571) 328-7408 ext. 818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 4, 2022 through Jan 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY200001275DCMDMental Health Counselor
0810007368VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Health LLC CurrentSince Dec 1, 2021 Accepting new patients

Locations

4401 Fairfax Dr
Ste 205
Arlington, VA 22203
Phone (571) 328-7408

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1205236858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1634 I ST NW STE 550",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064069",
            "telephone_number": "571-249-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1634 I ST NW STE 550",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064069",
            "telephone_number": "571-249-4403",
            "fax_number": "801-375-4241"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Fairfax Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222031622",
            "country_code": "US",
            "telephone_number": "571-328-7408 x818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRCHHOEFER",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0810007368",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DC",
            "license": "PSY200001275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.