Kiera Layburn Jenness, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003634 Issued in VA

Practice address

5912 Harbour Park Dr Ste B
Midlothian, VA 23112-2135

Phone

(804) 239-7688

Fax

(804) 893-3046

NPI assigned

Jan 21, 2015

Last updated

Jan 21, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Clinical Psychologist

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Transformation Group, LLCGroup PAC ID 8527253830, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: spectrumtransformationgroup.kierajenness@150682.advancedmd-direct.com

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.

• Spectrum Transformation Group, LLC

  • Cognitive & Behavioral Psychologist
  • North Chesterfield, VA
  • NPI 1174855985
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421798400000",
    "number": "1629467139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 HARBOUR PARK DR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122135",
            "telephone_number": "804-239-7688",
            "fax_number": "804-893-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 HARBOUR PARK DR STE B",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122135",
            "telephone_number": "804-239-7688",
            "fax_number": "804-893-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNESS",
        "first_name": "KIERA",
        "middle_name": "LAYBURN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Cooper Jenkins, MA, BCBA
• Jerry Lewis Jenkins, DDS
• Oliver Tyrone Jenkins Jr., QMHP
• Tierra Jenkins
• Sarah Jenks, BCABA
• Jennifer L Perkinson (Candlelight Counseling, LLC)
• Charlotte Jennings, APRN, FNP-BC
• Jenny Alsop, OD PLLC (Midlothian Optometric Center)
• Christian Jenski, M.D.
• Jeryl a Abbott DDS PC

• Clinical Psychologist in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.