Individual provider Active NPI

Juno Roselle Fraser, LPC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1225739246
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012203 Issued in VA
Practice address
3518 Meadow Oaks Blvd
North Chesterfield, VA 23234-4886
Phone
(804) 306-7153
NPI assigned
Mar 16, 2023
Last updated
Mar 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012203 VA Primary

Addresses

Primary practice location

3518 Meadow Oaks Blvd
North Chesterfield, VA 23234-4886

Mailing address

3518 Meadow Oaks Blvd
North Chesterfield, VA 23234-4886
Phone (804) 306-7153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia Pac Services PC CurrentSince Jun 3, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Jun 3, 2024 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

15051 Harmony Hills Ln
Abingdon, VA 24211
Phone (276) 451-2590

1 Vantage Dr
Poquoson, VA 23662
Phone (757) 868-9660

2400 E Parham Rd
Richmond, VA 23228
Phone (804) 264-9185

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, 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": "1678924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1225739246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3518 MEADOW OAKS BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344886",
            "telephone_number": "804-306-7153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 MEADOW OAKS BLVD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232344886",
            "telephone_number": "804-306-7153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASER",
        "first_name": "JUNO",
        "middle_name": "ROSELLE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.