Active NPI
Jessica Leigh Sibold, LPC
- Professional Counselor
- Goochland, VA
National Provider Identifier
1245890904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008226
- Practice address
- 1975 Elk Hill Rd
Goochland, VA 23063-3318 - Phone
- (540) 421-0992
- NPI assigned
- Jun 15, 2019
- Last updated
- Jun 15, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008226 | VA | Primary |
Addresses
Primary practice location
1975 Elk Hill Rd
Goochland, VA 23063-3318
Mailing address
1975 Elk Hill Rd
Goochland, VA 23063-3318
Phone (540) 421-0992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008226 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildflower Counseling and Wellness, LLC | Professional | Current | Accepting new patients |
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": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1245890904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 ELK HILL RD",
"city": "GOOCHLAND",
"state": "VA",
"postal_code": "230633318",
"telephone_number": "540-421-0992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1975 ELK HILL RD",
"city": "GOOCHLAND",
"state": "VA",
"postal_code": "230633318",
"telephone_number": "540-421-0992"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIBOLD",
"first_name": "JESSICA",
"middle_name": "LEIGH",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Goochland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.