Jennie Patterson Polizzi, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701010792 Issued in VA

Practice address

15812 Aerial View Rd
Woodbridge, VA 22193-5892

Phone

(703) 314-4448

NPI assigned

Sep 21, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Jennie Michelle Patterson Former name

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in DC

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

Mental Health Counselor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  DC

  Medicare reassignment NPD
• Virginia Center for Psychological Services PLLC

  • Adult Mental Health Clinic/Center
  • Ashburn, VA
  • NPI 1144056045

  DC

  Medicare reassignment
• Woodbridge Therapy Group LLC

  • Psychologist
  • Woodbridge, VA
  • NPI 1427421627

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1821769852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15812 AERIAL VIEW RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935892",
            "telephone_number": "703-314-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15812 AERIAL VIEW RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221935892",
            "telephone_number": "703-314-4448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 Opitz Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221926821",
            "country_code": "US",
            "telephone_number": "703-497-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8140 Ashton Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201095701",
            "country_code": "US",
            "telephone_number": "703-330-9933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLIZZI",
        "first_name": "JENNIE",
        "middle_name": "PATTERSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701010792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF COUNSELING/ NBCC",
            "identifier": "0701010792",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://woodbridgetherapygroup.com/",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Woodbridge Therapy Group LLC",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office website",
            "address_1": "2680 Opitz Blvd Ste 220",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221926821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://pwfc.com/",
            "affiliation": "Y",
            "endpointDescription": "website",
            "affiliationName": "Prince William Family Counseling, P.C.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "office website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office website",
            "address_1": "8140 Ashton Ave Ste 200",
            "city": "Manassas",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201095701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jpatterp@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "personal office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal office email",
            "address_1": "15812 Aerial View Rd",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221935892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "PATTERSON",
            "middle_name": "MICHELLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; 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.