NPIMap

Organization Active NPI

Im Just Me Movement

  • Peer Specialist
  • Winchester, VA
National Provider Identifier
1275053183
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
IM JUST ME MOVEMENT
Doing business as
I'm Just Me Movement
IJMM
Practice address
117 E Piccadilly St FL 3
Winchester, VA 22601-5095
Phone
(703) 344-6206
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Mrs. Christine Stevens, MENTOR, PRS
Title
President & Director
Phone
(703) 344-6206

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary
Local Education Agency (LEA) 251300000X VA
Early Intervention Provider Agency 252Y00000X
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

117 E Piccadilly St FL 3
Winchester, VA 22601-5095

Mailing address

117 E Piccadilly St FL 3
Winchester, VA 22601-5095
Phone (703) 344-6206

Other identifiers 1

IdentifierTypeStateIssuer
1275053183MedicaidVA

Other names 2

  • I'm Just Me Movement Doing business as
  • IJMM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
I'M Just Me Movement2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1275053183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E PICCADILLY ST FL 3",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015095",
            "telephone_number": "703-344-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E PICCADILLY ST FL 3",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226015095",
            "telephone_number": "703-344-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IM JUST ME MOVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT & DIRECTOR",
        "authorized_official_telephone_number": "703-344-6206",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MENTOR, PRS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275053183",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I'm Just Me Movement",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IJMM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.