Individual provider Active NPI

Jenine Stallings, LPC, NCC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1659813806
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701006797 Issued in VA
Practice address
812 Moorefield Park Dr Ste 210
North Chesterfield, VA 23236-3675
Phone
(804) 592-6654
Fax
(804) 592-6971
NPI assigned
Nov 4, 2016
Last updated
Mar 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701006797 VA Primary

Addresses

Primary practice location

812 Moorefield Park Dr Ste 210
North Chesterfield, VA 23236-3675

Mailing address

6372 Mechanicsville Tpke Ste 111
Mechanicsville, VA 23111-4705
Phone (804) 592-6654

Other practice location 1

6372 Mechanicsville Tpke Ste 111
Mechanicsville, VA 23111-4705
Phone (804) 592-6654

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231116001037 VA Practitioner - Mental Health Counselor 2567819352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Realign Your Mind Counseling ServicesGroup PAC ID 4385091172, 7 clinicians

Practice addresses (Care Compare)

6372 Mechanicsville Tpke
Suite 111
Mechanicsville, VA 23111-4705
Phone (804) 592-6620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701006797VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Realign Your Mind Counseling Services Professional CurrentSince Jan 1, 2024 Accepting new patients
Gateway Homes, Inc. PastSince Oct 8, 2019 Accepting new patients

Locations

6372 Mechanicsville Tpke
Ste 111
Mechanicsville, VA 23111
Phone (804) 592-6620

812 Moorefield Park Dr
Ste 210
North Chesterfield, VA 23236
Phone (804) 592-6620

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1659813806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6372 MECHANICSVILLE TPKE STE 111",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114705",
            "telephone_number": "804-592-6654",
            "fax_number": "804-592-6971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 MOOREFIELD PARK DR STE 210",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363675",
            "telephone_number": "804-592-6654",
            "fax_number": "804-592-6971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6372 Mechanicsville Tpke Ste 111",
            "address_purpose": "LOCATION",
            "city": "Mechanicsville",
            "state": "VA",
            "postal_code": "231114705",
            "country_code": "US",
            "telephone_number": "804-592-6654",
            "fax_number": "804-592-6971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STALLINGS",
        "first_name": "JENINE",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.