Individual provider Active NPI

Jessica Alaine Whittle, LPC

  • Professional Counselor
  • Danville, VA
National Provider Identifier
1972103018
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701009955 Issued in VA
Practice address
1488 Claiborne St
Danville, VA 24540-3150
Phone
(434) 376-2006
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701009955 VA Primary

Addresses

Primary practice location

1488 Claiborne St
Danville, VA 24540-3150

Mailing address

753 Main St
Danville, VA 24541-1817

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240905000995 DC Practitioner - Mental Health Counselor 4688114697 Reassigns benefits to 1 organization
I20241126000028 VA Practitioner - Mental Health Counselor 4688114697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Patrick Henry Family Services OperationsGroup PAC ID 6103231444, 8 clinicians

Practice addresses (Care Compare)

1621 Enterprise Dr
Lynchburg, VA 24502-5797
Phone (434) 376-2006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Patrick Henry Family Services Operations CurrentSince Oct 22, 2024 Accepting new patients
Grow Healthcare Group PA Professional CurrentSince Jul 23, 2024 Accepting new patients
Patrick Henry Boys and Girls Plantation, Inc Professional CurrentSince Oct 22, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

753 Main St
Ste 1B
Danville, VA 24541
Phone (434) 239-4949

1621 Enterprise Dr
Lynchburg, VA 24502
Phone (434) 239-4949

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1972103018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 MAIN ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1488 CLAIBORNE ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245403150",
            "telephone_number": "434-376-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTLE",
        "first_name": "JESSICA",
        "middle_name": "ALAINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701009955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.