Individual provider Active NPI

Jennifer Kathryn Parrella, M.S., LPC, LCMHC, NC

  • Professional Counselor
  • Woodbridge, VA
National Provider Identifier
1366645269
Registry record updated Sep 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6613 Issued in NC
Practice address
5000 Leatherback Rd
Woodbridge, VA 22193-5865
Phone
(910) 620-1642
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6613 NC Primary

Addresses

Primary practice location

5000 Leatherback Rd
Woodbridge, VA 22193-5865

Mailing address

5000 Leatherback Rd
Woodbridge, VA 22193-5865
Phone (910) 620-1642

Other practice location 1

10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674
Phone (540) 339-3640

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Decoding Relationships Current Accepting new patients
Cape Fear Case Management & Counseling Services, LLC Professional Past Accepting new patients
Compass Counseling Services of Northern Virginia PastSince Jan 15, 2023 Accepting new patients

Locations

10304 Eaton Pl
Ste 100
Fairfax, VA 22030
Phone (571) 463-8620

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1366645269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LEATHERBACK RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935865",
            "telephone_number": "910-620-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 LEATHERBACK RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935865",
            "telephone_number": "910-620-1642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10715 Spotsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Fredericksburg",
            "state": "VA",
            "postal_code": "224082674",
            "country_code": "US",
            "telephone_number": "540-339-3640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRELLA",
        "first_name": "JENNIFER",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "M.S., LPC, LCMHC, NC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "6613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; 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.