Individual provider Active NPI

Jennifer Denise Combs, LPC

  • Professional Counselor
  • Lebanon, VA
National Provider Identifier
1801574074
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1114 E Main St
Lebanon, VA 24266-5014
Phone
(276) 701-0030
NPI assigned
Jul 7, 2023
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012644 VA
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1114 E Main St
Lebanon, VA 24266-5014

Mailing address

13422 Stone Dr
Bristol, VA 24202-4557
Phone (276) 701-0030

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240423002904 VA Practitioner - Mental Health Counselor 6901245935 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eventus Premier Healthcare LLCGroup PAC ID 6305381013, 105 clinicians

Practice addresses (Care Compare)

250 Browns Hill CT
Midlothian, VA 23114-9510
Phone (855) 743-2247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012644VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychiatric Solutions PLLC Single Specialty CurrentSince Jul 15, 2024 Accepting new patients
Southwest Regional Counseling Service Inc Single Specialty CurrentSince Jul 1, 2024 Accepting new patients
Eventus Premier Healthcare LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Supportive Care of Virginia LLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1114 E Main St
Ste 4
Lebanon, VA 24266
Phone (276) 883-5050

250 Browns Hill Ct
Midlothian, VA 23114
Phone (424) 328-6526

6701 Peters Creek Rd
Ste 110
Roanoke, VA 24019
Phone (800) 765-7130

831 E Ellerslie Ave
South Chesterfield, VA 23834
Phone (718) 298-7345

Organizations & group practices 4

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1801574074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13422 STONE DR",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024557",
            "telephone_number": "276-701-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E MAIN ST",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665014",
            "telephone_number": "276-701-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "JENNIFER",
        "middle_name": "DENISE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012644",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.