J Group Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009104 Issued in VA

Legal business name

J GROUP COUNSELING SERVICES, LLC

Practice address

3349 Cofer Rd
B
Richmond, VA 23224-6405

Phone

(804) 665-3147

NPI assigned

Jun 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shalanda Y Jackson, LCSWNPI 1649643487

Title

Owner

Phone

(804) 665-3147

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shalanda Jackson, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1649643487
  NPD (past) Authorized official

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1912356247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 COFER RD",
            "address_2": "B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 COFER RD",
            "address_2": "B",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232246405",
            "telephone_number": "804-665-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J GROUP COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "SHALANDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-665-3147",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott James Iwashyna, M.D.
• Hasti Izadpanah, DO
• J & D Residential Services, Inc.
• J & T Healthcare Sevices
• J a Mera Ddspc & Associates
• J Scott Duff III DDS & Robert Y Cox DDS LTD
• J Scott Duff III DDS and Robert Y Cox DDS, LTD
• Isabel Jabaley
• Ruksana Jabeen, MD
• Hind Jaber-Daou

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.