JENNIFER ERICKSON (NPI# 1497101620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497101620 |
| Entity Type | Individual |
| Full Name | JENNIFER ERICKSON |
| Credential | LPC, NCC |
| Practice Address |
10015 W Broad St Glen Allen VA 23060-6406 |
| Mailing Address |
10712 Providence Park Dr Ashland VA 23005-7488 |
| Practice Telephone | 8044819221 |
| Mailing Telephone | 8046902537 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701007469 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4032 Gaelic Ln, Apt M, Glen Allen, VA 230606433 | 8046902537 | |
| 7497 Pebble Lake Dr, Mechanicsville, VA 231114522 | 8046902537 | |
| 7459 Old Hickory Dr Ste 105, Mechanicsville, VA 231113631 | 8042440700 | 8446589554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316490923 | Jennifer Erickson | Occupational Therapist | 18712 Windy Knoll Dr, Yorba Linda, CA 92886-4229 | 2016-07-31 |
| 1275541526 | Jennifer Lynn Erickson | Chiropractor | 9 Belfair Point Dr, Bluffton, SC 29910-4725 | 2006-08-03 |
| 1699713958 | Jennifer Erickson | Social Worker | 4699 Huntwicke Dr, Hilliard, OH 43026-7950 | 2006-06-02 |
| 1619523396 | Jennifer Megann Erickson | Speech-Language Pathologist | 312 S West St, Cambridge, IL 61238-1430 | 2019-08-17 |
| 1871078881 | Jennifer Erickson | Behavioral Analyst | 1105 W Russell St, Sioux Falls, SD 57104-1322 | 2018-09-26 |
| 1487172854 | Jennifer Lynn Erickson | Speech-Language Pathologist | 1525 Ridgewood Dr, Midland, MI 48642-6425 | 2017-09-06 |
| 1457804536 | Jennifer Erickson | Occupational Therapy Assistant | 9370 Olde 8 Rd, Northfield, OH 44067-2046 | 2016-07-26 |
| 1346650900 | Jennifer Erickson | Speech-Language Pathologist | 1772 Steiger Lake Ln, Victoria, MN 55386-7723 | 2014-05-05 |
| 1962825745 | Jennifer Leigh Erickson | Physician Assistant | 3573 Hillsborough Rd, Durham, NC 27705-9614 | 2014-01-29 |
| 1720400047 | Jennifer G Erickson | Counselor | 200 Mercy Dr, Dubuque, IA 52001-7303 | 2014-01-07 |
| Street Address |
10015 W BROAD ST |
| City | GLEN ALLEN |
| State | VA |
| Zip Code | 23060-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649821521 | Refocus Counseling, LLC | Counselor | 10015 W Broad St, Glen Allen, VA 23060-6406 | 2019-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205469715 | Romy Sharieff | Midwife | 10433 Mountain Glen Pkwy, Glen Allen, VA 23060 | 2020-02-13 |
| 1366934549 | Guillermo Del Campo | Optometrist | 4114 Innslake Drive, Glen Allen, VA 23060 | 2018-06-04 |
| 1871013771 | Wecare Medical Transportation Inc. | Driver | 10524 Boscastle Rd, Glen Allen, VA 23060 | 2017-06-21 |
| 1265889570 | Darchelle Braxton Dmd PC | Dentist | 4300 Pouncey Tract Road Suite I, Glen Allen, VA 23060 | 2016-05-17 |
| 1952714842 | Gaynier Orthodontics PC | Clinic/Center | 4701 Cox Rx Ste 285, C/o Ct Corporation, Glen Allen, VA 23060 | 2014-06-09 |
| 1538507819 | Rca Laboratory Services, LLC | Clinical Medical Laboratory | 4060 Innslake Dr, Glen Allen, VA 23060 | 2013-06-10 |
| 1922352772 | Samantha S Stone | Physical Therapist | 4101 Cox Rd Ste 100, Glen Allen, VA 23060 | 2012-11-01 |
| 1609123660 | Stephanie Rene Matsko | Optometrist | 4114 Innslake Dr., Glen Allen, VA 23060 | 2012-08-09 |
| 1851661367 | Lateaka Sheri Vinson | Speech-Language Pathologist | 2250 Old Brick Rd, Suite 2229, Glen Allen, VA 23060 | 2012-01-01 |
| 1568774271 | Cynthia A Koza | Optometrist | 4600 Cox Road, Suite 120, Glen Allen, VA 23060 | 2010-07-10 |
| Find all providers in zip 23060 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215554290 | Sha'vonne Laniece Harrison | Counselor | 10144 Virginia Rd, Glen Allen, VA 23060-2347 | 2020-06-25 |
| 1194355081 | Sherry Bowman Mcclanahan | Counselor | 3016 Mountain Rd Ste 203, Glen Allen, VA 23060-2051 | 2020-01-20 |
| 1124686050 | Lerese Adrienne Deberry | Counselor | 10924 Bush Lake Ln, Glen Allen, VA 23060-6457 | 2019-06-05 |
| 1588134076 | Stephen Lamar Hatton | Counselor | 10571 Telegraph Rd Ste 120, Glen Allen, VA 23059-4652 | 2018-11-28 |
| 1245492909 | Robyn Suzanne Nunley | Counselor | 4337 Cox Rd, Glen Allen, VA 23060-3359 | 2008-06-25 |
| 1538338256 | Glenna Linder | Counselor | 4908 Dominion Blvd, Suite F, Glen Allen, VA 23060-6774 | 2008-02-27 |
| 1306827852 | Resource Guidance Services Inc | Counselor | 5352 Twin Hickory Rd, Glen Allen, VA 23059-5682 | 2005-11-10 |
| 1265055347 | Siara Stewart | Counselor | 12000 Wyndham Lake Dr, Glen Allen, VA 23059-7072 | 2020-05-22 |
| 1932738994 | Gina Marie Nelson | Counselor | 10120 W Broad St Ste I, Glen Allen, VA 23060-6709 | 2020-04-02 |
| 1205475191 | Zachary C. Hollis | Counselor | 10299 Woodman Rd, Glen Allen, VA 23060-4419 | 2019-12-26 |
| Find all providers in GLEN ALLEN | ||||
| City | GLEN ALLEN |
| Zip Code | 23060 |
Please comment or provide details below to improve the information on JENNIFER ERICKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.