Organization Active NPI

Jun-Lizz LLC

  • Case Manager/Care Coordinator
  • Richmond, VA
National Provider Identifier
1710468665
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
0732000133 Issued in VA
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

Updated by the provider on Aug 28, 2018

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-ANPI 1518445204
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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 0711000285 VA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0732000133 VA
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X 0732000133 VA Primary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.