NPIMap

Organization Active NPI

Jurni Consulting, LLC

Doing business as Ellie Mental Health - Fredericksburg

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1386331189
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JURNI CONSULTING, LLC
Doing business as
Ellie Mental Health - Fredericksburg
Practice address
150 Riverside Pkwy Ste 207
Fredericksburg, VA 22406-1094
Phone
(540) 446-1085
NPI assigned
Apr 20, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Mr. Clayton Elon Smith
Title
Owner / Managing Member
Phone
(540) 446-1085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

150 Riverside Pkwy Ste 207
Fredericksburg, VA 22406-1094

Mailing address

35 Baldwin Dr
Fredericksburg, VA 22406-6264
Phone (540) 446-1085

Other names 1

  • Ellie Mental Health - Fredericksburg Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240110004665 VA Part B Supplier - Clinic/Group Practice 8224489562 Receives reassigned benefits from 8 practitioners
Practice locations: Fredericksburg, VA

National Provider Directory

National Provider Directory

Locations

150 Riverside Pkwy
Ste 207
Fredericksburg, VA 22406
Phone (540) 779-8398

5608 Southpoint Centre Blvd
Fredericksburg, VA 22407

5608 Southpoint Centre Blvd
Ste 101
Fredericksburg, VA 22407
Phone (540) 426-1068

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1386331189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 BALDWIN DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224066264",
            "telephone_number": "540-446-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 RIVERSIDE PKWY STE 207",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061094",
            "telephone_number": "540-446-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JURNI CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "ELON",
        "authorized_official_title_or_position": "OWNER / MANAGING MEMBER",
        "authorized_official_telephone_number": "540-446-1085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellie Mental Health - Fredericksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.