NPIMap

Organization Active NPI

JKT Trauma Consultation Counseling and Training Services

  • Community/Behavioral Health Agency
  • North Chesterfield, VA
National Provider Identifier
1629518121
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jul 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Authorized official

Name
Elizabeth Delores Dungee- Anderson, PHDNPI 1689775009
Title
Owner
Phone
(804) 840-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0904000543 VA Primary

Addresses

Primary practice location

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

Mailing address

1901 Huguenot Rd Ste 303
North Chesterfield, VA 23235-4311
Phone (804) 794-6247

Other names 1

  • JKT Services, LLC Other name

National Provider Directory

National Provider Directory

Locations

1901 Huguenot Rd
Ste 303
North Chesterfield, VA 23235
Phone (804) 794-6247

1901 Huguenot Rd
Ste 307
North Chesterfield, VA 23235
Phone (804) 794-6247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • 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.