Jeri Dickinson Lewis, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701002806 Issued in VA

Practice address

7489 Right Flank Rd Ste 330
Mechanicsville, VA 23116-3845

Phone

(804) 398-8401

Fax

(047) 898-8818

NPI assigned

Aug 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Old Towne Wellness, LLC

  • Psychiatry Physician
  • Mechanicsville, VA
  • NPI 1891267761
  NPD Authorized official
• Old Towne Counseling Services, LLC

  • Mental Health Counselor
  • Mechanicsville, VA
  • NPI 1487855003
  NPD
• Stepping Stone Counseling, LLC

  • Clinical Social Worker
  • Mechanicsville, VA
  • NPI 1427090778
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1902816341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8426 LEE DAVIS RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231166574",
            "telephone_number": "804-398-8401",
            "fax_number": "804-789-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7489 RIGHT FLANK RD STE 330",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231163845",
            "telephone_number": "804-398-8401",
            "fax_number": "047-898-8818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JERI",
        "middle_name": "DICKINSON",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701002806",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1902816341",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5409195",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward Leo Lesniak Jr., CRNA
• Lori Levy, SLP
• Abby Forman Lewis, MS, RD, CSSD
• Brandon J Lewis, PT, DPT
• Heather Nicole Lewis, FNP-C
• Laura Neely Lewis, DPT
• Matthew Lewis
• Life Evolve LLC
• Lifeknit Counseling LLC
• Emily Ligh, P.T.

• Professional Counselor in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.