Individual provider Active NPI

Jenny L. Krimm

  • Mental Health Counselor
  • Colonial Heights, VA
National Provider Identifier
1386255099
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704013117 Issued in VA
Practice address
320B Charles H Dimmock Pkwy
Colonial Heights, VA 23834-2938
Phone
(804) 520-0199
NPI assigned
Aug 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704013117 VA Primary

Addresses

Primary practice location

320B Charles H Dimmock Pkwy
Colonial Heights, VA 23834-2938

Mailing address

1601 Johns Rd
Carson, VA 23830-9310
Phone (804) 895-4281

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240123000525 VA Practitioner - Mental Health Counselor 4284086539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesterfield Family Guidance CenterGroup PAC ID 5799762712, 40 clinicians

Practice addresses (Care Compare)

6603 Irongate SQ
North Chesterfield, VA 23234-6081
Phone (804) 743-0960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704013117VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chesterfield Family Guidance Center CurrentSince Jan 9, 2024 Accepting new patients

Locations

6603 Irongate Sq
North Chesterfield, VA 23234

Organizations & group practices 1

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1386255099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 JOHNS RD",
            "city": "CARSON",
            "state": "VA",
            "postal_code": "238309310",
            "telephone_number": "804-895-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320B CHARLES H DIMMOCK PKWY",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238342938",
            "telephone_number": "804-520-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIMM",
        "first_name": "JENNY",
        "middle_name": "L.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colonial Heights, VA

Sources for this page

Verify at the official NPI Registry.