Active NPI
Jennifer Ann Kelley Kessler, LPC
- Professional Counselor
- Bedford, VA
National Provider Identifier
1689249336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701010509
- Practice address
- 1409 Old Dominion Blvd
Bedford, VA 24523-3285 - Phone
- (540) 586-5429
- Fax
- (540) 586-1481
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701010509 | VA | Primary |
Addresses
Primary practice location
1409 Old Dominion Blvd
Bedford, VA 24523-3285
Mailing address
PO Box 6316
Lynchburg, VA 24505-6316
Phone (540) 586-5429
Other names 1
- Ms. Jennifer Ann Kelley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1409 Ole Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Behavioral Health | Current | Accepting new patients |
Locations
1409 Old Dominion Blvd
Bedford, VA 24523
Phone (540) 586-5429
2215 Langhorne Rd
Lynchburg, VA 24501
Phone (434) 948-4831
2235 Landover Pl
Lynchburg, VA 24501
Phone (434) 847-8000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Lynchburg, VA
- NPI 1871542340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699228800000",
"number": "1689249336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6316",
"city": "LYNCHBURG",
"state": "VA",
"postal_code": "245056316",
"telephone_number": "540-586-5429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 OLD DOMINION BLVD",
"city": "BEDFORD",
"state": "VA",
"postal_code": "245233285",
"telephone_number": "540-586-5429",
"fax_number": "540-586-1481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESSLER",
"first_name": "JENNIFER",
"middle_name": "ANN KELLEY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2023-11-06",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701010509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "KELLEY",
"middle_name": "ANN",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bedford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.