JKT Trauma Consultation Counseling and Training Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0904000543 Issued in VA

Legal business name

JKT TRAUMA CONSULTATION COUNSELING AND TRAINING SERVICES

Practice address

1901 Huguenot Rd
Ste 303
North Chesterfield, VA 23235-4311

Phone

(804) 794-6247

Fax

(804) 794-6247

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Elizabeth Delores Dungee- Anderson, PHD

Title

Owner

Phone

(804) 840-1149

Specialties & licenses 1

Addresses

Other names 1

• JKT Services, LLC Other name

Locations

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1629518121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HUGUENOT RD STE 303",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354311",
            "telephone_number": "804-794-6247",
            "fax_number": "804-794-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HUGUENOT RD",
            "address_2": "STE 303",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354311",
            "telephone_number": "804-794-6247",
            "fax_number": "804-794-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKT TRAUMA CONSULTATION COUNSELING AND TRAINING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "DUNGEE- ANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DELORES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-840-1149",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0904000543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JKT Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica F Summers LCSW LLC
• David S Jevsevar, MD
• Nikole Rohana Jiggetts, LCSW
• Mohit Jindal, M.D.
• Lauren-Nicole Jinier
• Lisa Emily Jobe-Shields
• John Deitrick MD Consulting, LLC
• Colleen John
• John'E Jasper Epps, DDS, PLC
• Kimone Latoya Johns, DNP, FNP-BC, PMHNP-B

• Community/Behavioral Health Agency in North Chesterfield, VA
• Providers in North Chesterfield, 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 Jul 5, 2019; 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.