Active NPI
Jessica Spears
- Counselor
- Richmond, VA
National Provider Identifier
1821730490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704011665
- Practice address
- 1010 Woodstock Rd
Richmond, VA 23224-1518 - Phone
- (804) 338-4663
- NPI assigned
- Apr 12, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0704011665 | VA | Primary |
Addresses
Primary practice location
1010 Woodstock Rd
Richmond, VA 23224-1518
Mailing address
9201 Arboretum Pkwy Ste 150
North Chesterfield, VA 23236-5403
Phone (804) 322-7188
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 |
|---|---|---|---|
| 0704011665 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1821730490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 ARBORETUM PKWY STE 150",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232365403",
"telephone_number": "804-322-7188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 WOODSTOCK RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232241518",
"telephone_number": "804-338-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEARS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704011665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.