The Epiphany Center

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004672 Issued in VA

Legal business name

THE EPIPHANY CENTER

Practice address

408 E Market St
Suite 201B #2
Charlottesville, VA 22902-5261

Phone

(404) 579-9763

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica L. Jennings, LPC, CADCNPI 1144661935

Title

Director/Therapist

Phone

(404) 579-9763

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Jessica L Jennings, LPC, ADC

  • Professional Counselor
  • Virginia Beach, VA
  • NPI 1144661935
  Authorized official Same address or phone

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1427430313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 E MARKET ST",
            "address_2": "SUITE 201B #2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025261",
            "telephone_number": "404-579-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E MARKET ST",
            "address_2": "SUITE 201B #2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025261",
            "telephone_number": "404-579-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EPIPHANY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "404-579-9763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, CADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0701004672",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Blake at Charlottesville Services, LLC
• The Body Balancing Center PC
• The Bridge Line
• The Charleston Center, Inc (Albemarle Therapy Center)
• The Downtown Counseling Center
• The Laurels of Charlottesville, LLC (The Laurels of Charlottesville)
• The Laurels of Charlottesville, LLC (The Laurels of Charlottesville)
• The Lily Center, LCC
• The Metta Group
• The New Y-Capp Inc

• Professional Counselor in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.