Individual provider Active NPI

Jennifer Dawn Lawrence, LPC

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1578089835
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007549 Issued in VA
Practice address
10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674
Phone
(540) 339-3640
Fax
(540) 898-1040
NPI assigned
Aug 18, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 00118954
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701007549 VA Primary

Addresses

Primary practice location

10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674

Mailing address

10715 Spotsylvania Ave
Fredericksburg, VA 22408-2674
Phone (540) 339-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701007549VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Counseling Services of Northern Virginia CurrentSince Mar 5, 2023 Accepting new patients

Locations

10715 Spotsylvania Ave
Fredericksburg, VA 22408
Phone (540) 339-3640

Organizations & group practices 1

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": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1578089835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082674",
            "telephone_number": "540-339-3640",
            "fax_number": "540-898-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 SPOTSYLVANIA AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224082674",
            "telephone_number": "540-339-3640",
            "fax_number": "540-898-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": "00118954",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.