Individual provider Active NPI

Jennifer Lynn Patterson, MSW

  • Mental Health Counselor
  • Charlottesville, VA
National Provider Identifier
1730910563
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0906015281 Issued in VA
Practice address
914 E Jefferson St
Charlottesville, VA 22902-4745
Phone
(434) 984-2722
NPI assigned
Aug 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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 0906015281 VA Primary

Addresses

Primary practice location

914 E Jefferson St
Charlottesville, VA 22902-4745

Mailing address

5118 Browns Gap Tpke
Crozet, VA 22932-1612
Phone (434) 305-6028

Other practice location 1

5804 Tabor St
Crozet, VA 22932-3116
Phone (434) 305-6028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0906015281VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Circle of Security in-Home Network CurrentSince Sep 8, 2024 Accepting new patients

Locations

914 E Jefferson St
Charlottesvle, VA 22902
Phone (434) 971-8004

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, 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": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1730910563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5118 BROWNS GAP TPKE",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229321612",
            "telephone_number": "434-305-6028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 E JEFFERSON ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024745",
            "telephone_number": "434-984-2722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5804 Tabor St",
            "address_purpose": "LOCATION",
            "city": "Crozet",
            "state": "VA",
            "postal_code": "229323116",
            "country_code": "US",
            "telephone_number": "434-305-6028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0906015281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.