Individual provider Active NPI

Jennifer Erickson, LPC

  • Professional Counselor
  • Ashland, VA
National Provider Identifier
1497101620
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2671367 Issued in ID
Practice address
10712 Providence Park Dr
Ashland, VA 23005-7488
Phone
(804) 690-2537
NPI assigned
May 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007469 VA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH19973 FL
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2671367 ID Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 12884764-6004 UT
Mental Health Counselor 101YM0800X 0701007469 VA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC-24106 AZ

Addresses

Primary practice location

10712 Providence Park Dr
Ashland, VA 23005-7488

Mailing address

10712 Providence Park Dr
Ashland, VA 23005-7488
Phone (804) 690-2537

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240418003341 VA Practitioner - Other (Non-Physician) 4082053335
I20250403000084 VA Practitioner - Mental Health Counselor 4082053335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12884764-6004UTMDMental Health Counselor
2671367IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling Center Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Advocates LLC Mental Health CurrentSince Jan 13, 2025 Accepting new patients
The Refocus Center, Inc. Past Accepting new patients
Ronald W. Atwood, M.D., P.C. Multi-Specialty Past Accepting new patients
Jennifer Erickson Coaching, LLC PastSince Apr 1, 2021 Accepting new patients
Refocus Counseling, LLC Mental Health PastSince Nov 26, 2023 Accepting new patients

Locations

242 Washington Blvd
Sarasota, FL 34236
Phone (941) 266-0088

809 Kent Pl
Chesapeake, VA 23320
Phone (757) 436-0605

1417 Battlefield Blvd N
Ste 260
Chesapeake, VA 23320
Phone (757) 436-0605

1604 Santa Rosa Rd
Rm 115
Richmond, VA 23229
Phone (804) 690-2537

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8042/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1497101620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10712 PROVIDENCE PARK DR",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057488",
            "telephone_number": "804-690-2537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10712 PROVIDENCE PARK DR",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057488",
            "telephone_number": "804-690-2537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JENNIFER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007469",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19973",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "2671367",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "12884764-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007469",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-24106",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, VA

Sources for this page

Verify at the official NPI Registry.