Connie Lynn Jenks, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701004851 Issued in VA

Practice address

6565 Arlington Blvd Ste 405
Falls Church, VA 22042-3000

Phone

(703) 596-4796

NPI assigned

May 12, 2010

Last updated

Jan 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 1

Specialty

Mental Health Counselor

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

My Psychiatrist, LLCGroup PAC ID 5597898981, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• My Psychiatrist LLC

  dba My Psychiatrist PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reston, VA
  • NPI 1295048684

  DC

  Medicare reassignment Care Compare group NPD
• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653
  NPD (past)
• Hanover County Board of Supervisors

  dba Hanover Fire EMS

  • Ambulance
  • Hanover, VA
  • NPI 1245275403
  NPD (past)
• Healing Hearts VA, LLC

  • Mental Health Counselor
  • Aldie, VA
  • NPI 1982146262
  NPD (past)

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1598083792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 GAN WAY",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322599403",
            "telephone_number": "804-683-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 ARLINGTON BLVD STE 405",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220423000",
            "telephone_number": "703-596-4796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41920 Beckett Farms Ter",
            "address_purpose": "LOCATION",
            "city": "Aldie",
            "state": "VA",
            "postal_code": "201053233",
            "country_code": "US",
            "telephone_number": "703-677-8693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKS",
        "first_name": "CONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy R Jeffery, MD
• Michelle Wilson Jeffery, MD
• Jeffrey L Brown, DDS, PLC (Sleep & TMJ Therapy)
• Maria Jeffries, PMHNP
• Darcy Jenkins, AGACNP
• Jennifer Lanouette LCSW
• Aimee Elizabeth Jennings, CCC-SLP
• Faith Elizabeth Jennings, OTD, OTR/L
• Katherine Jennings
• Hyungjoo Jeong, MD

• Professional Counselor in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.