Jordan Lindsey Koontz

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

PPS-0608813 Issued in VA

Practice address

600 S Laburnum Ave
Richmond, VA 23223-5802

Phone

(804) 226-8745

NPI assigned

Oct 2, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Henrico County Public School

  • Local Education Agency (LEA)
  • Richmond, VA
  • NPI 1598834210
  NPD (past)

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1508684044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 NINE MILE RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232234831",
            "telephone_number": "804-652-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S LABURNUM AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232235802",
            "telephone_number": "804-226-8745"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9000 Hungary Spring Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232281620",
            "country_code": "US",
            "telephone_number": "804-756-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "JORDAN",
        "middle_name": "LINDSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PPS-0608813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anastasia Maria Kontos
• Melissa Kontos, OD
• Michael C Kontos, M.D.
• Lauren Ashley Kontra, PA-C
• Harry P Koo, MD
• Warren Koontz, M.D.
• Stephen Kopelove, DDS
• Madison Rose Kornides, PHARMD
• Michael Jeffrey Kornstein, MD
• Susan G Kornstein, M.D.

• School Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• School Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.