Iteisha James-Crenshaw, LCSW

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0906010747 Issued in VA

Practice address

510 S Sycamore St Ste 3
Petersburg, VA 23803-5044

Phone

(804) 894-8829

Fax

(804) 535-4955

NPI assigned

Sep 7, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Elevated Living Services LLC

  • Mental Health Counselor
  • Petersburg, VA
  • NPI 1740047471
  NPD
• Serene Life Community Services LLC

  • Adult Mental Health Clinic/Center
  • South Prince George, VA
  • NPI 1487347407
  NPD

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

{
    "created_epoch": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1245016807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 S SYCAMORE ST STE 3",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035044",
            "telephone_number": "804-894-8829",
            "fax_number": "804-535-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S SYCAMORE ST STE 3",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238035044",
            "telephone_number": "804-894-8829",
            "fax_number": "804-535-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES-CRENSHAW",
        "first_name": "ITEISHA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0906010747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Shanae Jackson, NP
• Lauran Dekease Jackson
• Sara Jackson
• Valecia Jackson, CSAC
• Rachael Jadidi, FNP
• Brianna R Jaris, PSY.D.
• Valerie L Jaskowski, FNP
• Cynthia Lynn Jenkins, PH.D.
• Randolph Mitchell Jenkins Jr., M.D.
• Ernest Jeter

• Community/Behavioral Health Agency in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.