Active NPI
Jennifer LB Shenk, LPC
- Professional Counselor
- Charlottesville, VA
National Provider Identifier
1740705474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PRC14957
- Practice address
- 2300 Commonwealth Dr Ste 100
Charlottesville, VA 22901-1894 - Phone
- (240) 818-7414
- NPI assigned
- Aug 3, 2017
- 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 | PRC14957 | DC | Primary |
Addresses
Primary practice location
2300 Commonwealth Dr Ste 100
Charlottesville, VA 22901-1894
Mailing address
2532 N 4TH St # 7
Flagstaff, AZ 86004-3712
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
| License | State | Type | Specialty |
|---|---|---|---|
| PRC14957 | DC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1740705474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 N 4TH ST # 7",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860043712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 COMMONWEALTH DR STE 100",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229011894",
"telephone_number": "240-818-7414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENK",
"first_name": "JENNIFER",
"middle_name": "LB",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-03",
"last_updated": "2025-09-11",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14957",
"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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.