Individual provider Active NPI

Jessica Hauser

  • Mental Health Counselor
  • Glen Allen, VA
National Provider Identifier
1679454946
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704016202 Issued in VA
Practice address
12000 Wyndham Lake Dr Ste B
Glen Allen, VA 23059-7072
Phone
(804) 592-2793
NPI assigned
Sep 11, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0704016202 VA Primary

Addresses

Primary practice location

12000 Wyndham Lake Dr Ste B
Glen Allen, VA 23059-7072

Mailing address

12000 Wyndham Lake Dr Ste B
Glen Allen, VA 23059-7072
Phone (804) 592-2793

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
I20260210001682 VA Practitioner - Mental Health Counselor 2860971843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

12000 Wyndham Lake Dr
Suite B
Glen Allen, VA 23059-7072
Phone (804) 378-3364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704016202VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light Counseling, Inc. CurrentSince Jan 1, 2026 Accepting new patients
Resource Guidance Services Inc CurrentSince Sep 14, 2025 Accepting new patients

Locations

1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515

12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364

20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 384-1591

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": "1757548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679454946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12000 WYNDHAM LAKE DR STE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597072",
            "telephone_number": "804-592-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12000 WYNDHAM LAKE DR STE B",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230597072",
            "telephone_number": "804-592-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSER",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-11",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704016202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.