Jennifer Ann Shockley, MA, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0704017355 Issued in VA

Practice address

2906 Union Church Rd
Buckingham, VA 23921-3510

Phone

(434) 288-0029

NPI assigned

Oct 29, 2026

Last updated

Oct 29, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1793232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793232000000",
    "number": "1306744164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2906 UNION CHURCH RD",
            "city": "BUCKINGHAM",
            "state": "VA",
            "postal_code": "239213510",
            "telephone_number": "434-288-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2906 UNION CHURCH RD",
            "city": "BUCKINGHAM",
            "state": "VA",
            "postal_code": "239213510",
            "telephone_number": "434-288-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOCKLEY",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MA, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-10-29",
        "last_updated": "2026-10-29",
        "certification_date": "2026-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704017355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Buckingham, VA
• Providers in Buckingham, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2026; 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.