Active NPI
Jerious Counseling Services, LLC
- Counselor
- Virginia Beach, VA
National Provider Identifier
1649511874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 1604-05-001
- Legal business name
- JERIOUS COUNSELING SERVICES, LLC
- Practice address
- 5108 Greenwich Road
Virginia Beach, VA 23462 - Phone
- (757) 518-9673
- NPI assigned
- Mar 13, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jacqueline Taylor
- Title
- Ceo
- Phone
- (757) 518-9673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 1604-05-001 | VA | Primary |
Addresses
Primary practice location
5108 Greenwich Road
Virginia Beach, VA 23462
Mailing address
5108 Greenwich Road
Virginia Beach, VA 23462
Phone (757) 518-9673
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1649511874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 GREENWICH ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-518-9673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 GREENWICH ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "23462",
"telephone_number": "757-518-9673"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JERIOUS COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-13",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "757-518-9673",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": "VA",
"license": "1604-05-001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.