Jera Nelson Cunningham, PH.D., LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003467 Issued in VA

Practice address

9097 Atlee Station Rd
Mechanicsville, VA 23116-2525

Phone

(804) 730-0432

Fax

(804) 730-2829

NPI assigned

Aug 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Commonwealth Counseling Associates Inc

  • Clinical Psychologist
  • Mechanicsville, VA
  • NPI 1851345805
  NPD (past)
• Partners in Parenting, PC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1083082226
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190851200000",
    "number": "1497865869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9097 ATLEE STATION RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162525",
            "telephone_number": "804-730-0432",
            "fax_number": "804-730-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9097 ATLEE STATION RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162525",
            "telephone_number": "804-730-0432",
            "fax_number": "804-730-2829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JERA NELSON",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "173266",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keri Cullen, M.ED. CCC-SLP
• Justin Drew Culver
• Lindsay Robbins Culver, FNP-C
• Elizabeth Mariah Cumber, BSW,MAT, BCBA, LBA
• Julia Cumins, DDS
• Cydne Cupka, LCOTA
• Katelin Curd, ED.S.
• Felice Tan Curran, CRNA
• Tajanai Sheree Curtis, RN, BSN, MSN, CNS
• Tara Cuthrell

• Clinical Psychologist in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.