Active NPI
Jun-Lizz LLC
- Case Manager/Care Coordinator
- Richmond, VA
National Provider Identifier
1710468665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 0732000133
- Legal business name
- JUN-LIZZ LLC
- Practice address
- 4325 Mylan Rd
Richmond, VA 23223-2273 - Phone
- (804) 767-9723
- NPI assigned
- Aug 28, 2018
- 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
- Crystal Lester-Lewis, BS QMHP RPRS CSAC-A
- Title
- Owner
- Phone
- (804) 767-9723
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0711000285 | VA | |
| Mental Health Counselor | 101YM0800X | 0732000133 | VA | |
| Case Manager/Care Coordinator | 171M00000X | 0732000133 | VA | Primary |
| Peer Specialist | 175T00000X | 0735000015 | VA | |
| Case Management Agency | 251B00000X | 0732000133 | VA | |
| Home Health Agency | 251E00000X | 0732000133 | VA |
Addresses
Primary practice location
4325 Mylan Rd
Richmond, VA 23223-2273
Mailing address
4325 Mylan Rd
Richmond, VA 23223-2273
Phone (804) 767-9723
Other names 1
- JUN-LIZZ Serenity care
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Richmond, VA
- NPI 1518445204
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535414400000",
"number": "1710468665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4325 MYLAN RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232273",
"telephone_number": "804-767-9723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4325 MYLAN RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232232273",
"telephone_number": "804-767-9723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUN-LIZZ LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-28",
"last_updated": "2018-08-28",
"status": "A",
"authorized_official_last_name": "LESTER-LEWIS",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "804-767-9723",
"authorized_official_credential": "BS QMHP RPRS CSAC-A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0711000285",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0732000133",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "VA",
"license": "0732000133",
"primary": true
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "VA",
"license": "0735000015",
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "VA",
"license": "0732000133",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "VA",
"license": "0732000133",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "JUN-LIZZ Serenity care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.