Active NPI
Jericia Vetiss Johnson Robinson, M.ED.
- Mental Health Counselor
- Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701006648
- Practice address
- 9842 Lori Rd Ste 201
Chesterfield, VA 23832-6656 - Phone
- (804) 362-7860
- NPI assigned
- Jan 18, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701006648 | VA | Primary |
Addresses
Primary practice location
9842 Lori Rd Ste 201
Chesterfield, VA 23832-6656
Mailing address
9842 Lori Rd Ste 201
Chesterfield, VA 23832-6656
Phone (804) 362-7860
Other practice location 1
13301 Midlothian Tpke
Suite D
Midlothian, VA 23113-4205
Phone (804) 332-4088
Other names 1
- Ms. Jericia Vetiss Johnson
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7946 Clovertree CT
North Chesterfield, VA 23235-5380
831 Bedford Ave
Suite 530
Brooklyn, NY 11205-2801
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006648 | VA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhodium Care Group Inc | Current | Accepting new patients | |
| Fig Tree Therapies | Past | Accepting new patients | |
| Fig Tree Therapy | Past | Accepting new patients |
Locations
8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611
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.
-
- Community/Behavioral Health Agency
- Midlothian, VA
- NPI 1114364858
-
- Community/Behavioral Health Agency
- Midlothian, VA
- NPI 1568724342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573776000000",
"number": "1982942470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9842 LORI RD STE 201",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326656",
"telephone_number": "804-362-7860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9842 LORI RD STE 201",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326656",
"telephone_number": "804-362-7860"
}
],
"practiceLocations": [
{
"address_1": "13301 Midlothian Tpke",
"address_2": "Suite D",
"address_purpose": "LOCATION",
"city": "Midlothian",
"state": "VA",
"postal_code": "231134205",
"country_code": "US",
"telephone_number": "804-332-4088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON ROBINSON",
"first_name": "JERICIA",
"middle_name": "VETISS",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-18",
"last_updated": "2019-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701006648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JERICIA",
"last_name": "JOHNSON",
"middle_name": "VETISS",
"prefix": "MS.",
"credential": "M.ED.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2019; 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.