Jessica Renee Eddins, LPC, RPRS, CSAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701010121 Issued in VA

Practice address

752 Cedar Rd Ste 107
Chesapeake, VA 23322-7227

Phone

(757) 606-0086

Fax

(757) 299-8382

NPI assigned

Sep 30, 2019

Last updated

Sep 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725235200000",
    "number": "1598306789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 KEMPSVILLE RD UNIT 65518",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234671266",
            "telephone_number": "757-606-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 CEDAR RD STE 107",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233227227",
            "telephone_number": "757-606-0086",
            "fax_number": "757-299-8382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "JESSICA",
        "middle_name": "RENEE",
        "credential": "LPC, RPRS, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2024-09-02",
        "certification_date": "2024-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710103373",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Counselor in Virginia

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