Jesse Pearlstein LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

JESSE PEARLSTEIN LLC

Practice address

5821 Staples Mill Rd
Henrico, VA 23228-5427

Phone

(804) 264-0966

NPI assigned

Dec 27, 2019

Organization subpart

No

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

Authorized official

Name

Jesse Gray Pearlstein, LCSWNPI 1831636950

Title

Owner

Phone

(804) 404-3659

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jesse Pearlstein, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1831636950
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1609415488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 BRADLEY LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232254305",
            "telephone_number": "434-906-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSE PEARLSTEIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "PEARLSTEIN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-404-3659",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1831636950",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jessepearlstein@westwoodgroup.org",
            "affiliation": "N",
            "endpointDescription": "Scheduling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5821 Staples Mill Rd",
            "city": "Henrico",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232285427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Taylor Jenkins
• Adrienne Holland Jennings
• Fatima Jennings
• Sarah Jennings
• Jeremiah'S Way
• Kira Jiral, M.S. SLP-CF
• Jireh'S Residents Home Care LLC
• Jkeen Associates, LLC
• Joanna W. McAbee, Pmhnp, LLC
• John S. Kittrell, DDS, PLLC

• Community/Behavioral Health Agency in Henrico, VA
• Providers in Henrico, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.