Active NPI
Jennifer Erickson, LPC
- Professional Counselor
- Ashland, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2671367
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701007469 | VA | |
| Mental Health Counselor | 101YM0800X | MH19973 | FL | |
| Professional Counselor | 101YP2500X | 2671367 | ID | Primary |
| Mental Health Counselor | 101YM0800X | 12884764-6004 | UT | |
| Mental Health Counselor | 101YM0800X | 0701007469 | VA | |
| Mental Health Counselor | 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 VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12884764-6004 | UT | MD | Mental Health Counselor |
| 2671367 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Counseling Center Inc | Mental Health | Current | Accepting new patients |
| Mental Health Advocates LLC | Mental Health | Current | 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 | Past | Accepting new patients | |
| Refocus Counseling, LLC | Mental Health | Past | 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
- 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.
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-
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-
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Multi-Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.