Individual provider Active NPI

Jennifer Carol Street, ARPN

  • Psychiatric/Mental Health Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1710475694
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024182817 Issued in VA
Practice address
2501 N Glebe Rd Ste 303
Arlington, VA 22207-3558
Phone
(703) 841-1436
Fax
(703) 841-1315
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024182817 VA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R216939 MD

Addresses

Primary practice location

2501 N Glebe Rd Ste 303
Arlington, VA 22207-3558

Mailing address

2501 N Glebe Rd Ste 303
Arlington, VA 22207-3558
Phone (703) 841-1436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230922000859 VA Practitioner - Nurse Practitioner 1557715729 Reassigns benefits to 1 organization
I20231118000047 DC Practitioner - Nurse Practitioner 1557715729 Reassigns benefits to 1 organization
I20250618000042 MD Practitioner - Nurse Practitioner 1557715729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Associates in Psychiatry PCGroup PAC ID 7113165739, 127 clinicians

Practice addresses (Care Compare)

10400 Little Patuxent Pkwy
Columbia, MD 21044-3518
Phone (571) 977-6870

24560 Southpoint Dr
Suite 260
Aldie, VA 20105-3505
Phone (571) 248-7493

2501 N Glebe Rd
Suite 303
Arlington, VA 22207-3558
Phone (703) 841-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R216939MDMDPsychiatric/Mental Health Nurse Practitioner
0024182817VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Jul 5, 2023 Accepting new patients

Locations

10400 Little Patuxent Pkwy
Columbia, MD 21044
Phone (321) 422-7157

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

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.

NPI Registry JSON

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1710475694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD STE 303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-841-1436",
            "fax_number": "703-841-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 N GLEBE RD STE 303",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222073558",
            "telephone_number": "703-841-1436",
            "fax_number": "703-841-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREET",
        "first_name": "JENNIFER",
        "middle_name": "CAROL",
        "name_prefix": "Ms.",
        "credential": "ARPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182817",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R216939",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.