Individual provider Active NPI

Alicea R Jenkins, LPC

  • Counselor
  • Chesapeake, VA
National Provider Identifier
1760079446
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0701008517 Issued in VA
Practice address
524 Albemarle Dr Ste 101
Chesapeake, VA 23322-5500
Phone
(757) 630-2809
Fax
(833) 398-2607
NPI assigned
Dec 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0701008517 VA Primary

Addresses

Primary practice location

524 Albemarle Dr Ste 101
Chesapeake, VA 23322-5500

Mailing address

PO Box 15768
Chesapeake, VA 23328-5768
Phone (757) 630-2809

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
0701008517VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion & Healing Counseling, LLC Counselor CurrentSince Jan 1, 2021 Accepting new patients

Locations

524 Albemarle Dr
Ste 101
Chesapeake, VA 23322
Phone (757) 630-2809

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": "1609113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1760079446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15768",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233285768",
            "telephone_number": "757-630-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 ALBEMARLE DR STE 101",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233225500",
            "telephone_number": "757-630-2809",
            "fax_number": "833-398-2607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALICEA",
        "middle_name": "R",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-28",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0701008517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.