Individual provider Active NPI

Jessica Lynn Hamlet

  • Counselor
  • Virginia Beach, VA
National Provider Identifier
1902565708
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
0704012955 Issued in VA
Practice address
780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone
(757) 694-4723
NPI assigned
Dec 9, 2021
Last updated
Dec 9, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 0704012955 VA Primary

Addresses

Primary practice location

780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361

Mailing address

780 Lynnhaven Pkwy Ste 340
Virginia Beach, VA 23452-7361
Phone (757) 694-4723

Other names 1

  • Jessica Lynn Bynum Former name

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
I20260615000196 VA Practitioner - Mental Health Counselor 7315419025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2380 Liberty Way
Suite 100
Virginia Beach, VA 23456-3466
Phone (757) 828-6028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704012955VAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lynn Hamlet LLC Counselor Current Accepting new patients

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, 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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1902565708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527361",
            "telephone_number": "757-694-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY STE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527361",
            "telephone_number": "757-694-4723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMLET",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "0704012955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BYNUM",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.