Active NPI
Nerissa F Jones, LPC
- Mental Health Counselor
- Virginia Beach, VA
National Provider Identifier
1346897915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2697 International Pkwy
Virginia Beach, VA 23452 - Phone
- (347) 940-7461
- NPI assigned
- Aug 19, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2697 International Pkwy
Virginia Beach, VA 23452
Mailing address
1012 Annette Street
Chesapeake, VA 23324-7361
Phone (347) 940-7461
Other practice location 1
816 Greenbrier Cir Ste 100
Chesapeake, VA 23320-2645
Phone (757) 301-8747
Other practice location 2
780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone (757) 301-8747
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30016471470002 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231213002370 | VA | Practitioner - Mental Health Counselor | 3274982467 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713571200000",
"number": "1346897915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 ANNETTE STREET",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233247361",
"telephone_number": "347-940-7461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2697 INTERNATIONAL PKWY",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23452",
"telephone_number": "347-940-7461"
}
],
"practiceLocations": [
{
"address_1": "816 Greenbrier Cir Ste 100",
"address_purpose": "LOCATION",
"city": "Chesapeake",
"state": "VA",
"postal_code": "233202645",
"country_code": "US",
"telephone_number": "757-301-8747",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 Lynnhaven Pkwy Ste 340",
"address_purpose": "LOCATION",
"city": "Virginia Beach",
"state": "VA",
"postal_code": "234527361",
"country_code": "US",
"telephone_number": "757-301-8747",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "NERISSA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-19",
"last_updated": "2024-04-20",
"certification_date": "2024-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30016471470002",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.