Individual provider Active NPI

Jennifer Lynn Royer, LCSW

  • Clinical Social Worker
  • Blue Ridge, VA
National Provider Identifier
1205424413
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904016898 Issued in VA
Practice address
3522 Webster Rd
Blue Ridge, VA 24064-1980
Phone
(540) 977-6300
Fax
(540) 977-9523
NPI assigned
Jan 4, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904016898 VA Primary

Addresses

Primary practice location

3522 Webster Rd
Blue Ridge, VA 24064-1980

Mailing address

3522 Webster Rd
Blue Ridge, VA 24064-1980
Phone (540) 977-6300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennie@botetourtcounseling.com Botetourt Counseling Center Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240814001995 DC Practitioner - Clinical Social Worker 2567900178 Reassigns benefits to 1 organization
I20240927003264 VA Practitioner - Clinical Social Worker 2567900178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Botetourt Counseling Center IncGroup PAC ID 5799887642, 5 clinicians

Practice addresses (Care Compare)

3522 Webster Rd
Blue Ridge, VA 24064-1980
Phone (540) 977-6300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Botetourt Counseling Center Inc CurrentSince Oct 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jul 12, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3522 Webster Rd
Blue Ridge, VA 24064
Phone (540) 944-6300

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1609718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1205424413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 WEBSTER RD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "240641980",
            "telephone_number": "540-977-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 WEBSTER RD",
            "city": "BLUE RIDGE",
            "state": "VA",
            "postal_code": "240641980",
            "telephone_number": "540-977-6300",
            "fax_number": "540-977-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-04",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennie@botetourtcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Botetourt Counseling Center Inc",
            "address_1": "3522 Webster Rd",
            "city": "Blue Ridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "240641980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Blue Ridge, VA

Sources for this page

Verify at the official NPI Registry.