Active NPI
Jewel Munford
- Counselor
- Petersburg, VA
National Provider Identifier
1992506547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0704005615
- Practice address
- 13 East Washington Street
Petersburg, VA 23803 - Phone
- (804) 506-6857
- NPI assigned
- Mar 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0704005615 | VA | Primary |
Addresses
Primary practice location
13 East Washington Street
Petersburg, VA 23803
Mailing address
13 East Washington Street
Petersburg, VA 23803
Phone (804) 506-6857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704005615 | VA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742428800000",
"number": "1992506547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 EAST WASHINGTON STREET",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23803",
"telephone_number": "804-506-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 EAST WASHINGTON STREET",
"city": "PETERSBURG",
"state": "VA",
"postal_code": "23803",
"telephone_number": "804-506-6857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNFORD",
"first_name": "JEWEL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-20",
"last_updated": "2025-03-20",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0704005615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petersburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.