Elissa Lea Jarvis, PSYD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006131 Issued in VA

Practice address

2010 Old Greenbrier Rd Ste J
Chesapeake, VA 23320-2619

Phone

(757) 493-2912

Fax

(866) 730-6583

NPI assigned

Jan 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Elissa Lea Brauchle Former name

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Integrity Counseling Collective, PLLC

  • Clinical Psychologist
  • Hampton, VA
  • NPI 1285496539
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1780158931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 DARBY AVE",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236631306",
            "telephone_number": "757-450-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 OLD GREENBRIER RD STE J",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202619",
            "telephone_number": "757-493-2912",
            "fax_number": "866-730-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "ELISSA",
        "middle_name": "LEA",
        "credential": "PSYD, LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISSA",
            "last_name": "BRAUCHLE",
            "middle_name": "LEA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Daniels Jamison, LCSW
• Renata Jamison
• Philip Jan, PHARMD
• Faith Janiszewski
• Stacy Jarrett, APRN
• Tracy Jarvis
• Muhamed Jasarevic, M.D.
• Anum Javaid, MD
• Jazzy Transportation Services, LLC
• Jefferson Solutions LLC

• Clinical Psychologist in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.