Jessica Laurent, LPC, CSOTP, BCN

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005088 Issued in VA

Practice address

10505 Judicial Dr Ste 100
Fairfax, VA 22030-5157

Phone

(703) 278-0457

Fax

(703) 385-1053

NPI assigned

Sep 15, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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.

• The Center for Clinical and Forensic Services, Inc.

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1750519120
  NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1245900802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10505 JUDICIAL DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305157",
            "telephone_number": "703-278-0457",
            "fax_number": "703-385-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10505 JUDICIAL DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305157",
            "telephone_number": "703-278-0457",
            "fax_number": "703-385-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENT",
        "first_name": "JESSICA",
        "name_prefix": "Ms.",
        "credential": "LPC, CSOTP, BCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701005088",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "E6353",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Lewis Lastova, PT
• Janet Rebecca Laubgross, PHD
• Laura Lauderdale, PLPC
• Erin Lauer, LCSW
• Lisa Laundree, MSOT, OTR/L
• Laurie Best LLC
• Hans Christian Lauritzen, MA
• Adrienne M Law
• Alison Lawhead, LCSW
• Keith Willis Lawhorn, MD

• Professional Counselor in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.