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JERLY HENRIQUEZ LPCR
NPI 1063225225
Counselor in Fairfax, VA

Active since January 30, 2025PECOS Enrolled
10721 MAIN ST STE 2400, FAIRFAX, VA 22030(703) 270-0225 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerly Henriquez Lpcr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERLY HENRIQUEZ LPCR (NPI 1063225225) is an individual counselor in Fairfax, Virginia, licensed in Virginia (0704016745) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063225225
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJERLY HENRIQUEZCredential: LPCR
Location Address10721 MAIN ST STE 2400Fairfax, VA 22030-6902
Mailing Address10721 Main St Ste 2400Fairfax, VA 22030-6902
Phone(703) 270-0225
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1063225225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in VA · 0704016745
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
10721 MAIN ST STE 2400, Fairfax, VA 22030
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerly Henriquez Lpcr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345715074
PECOS Enrollment IDI20260409002323
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANKAR THAPA LMSW
Social Worker
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (703) 270-0225
JASMINE MEALY
Social Worker (Clinical)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (703) 270-0225
GABRIELA PASQUIER
Counselor (Professional)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (703) 270-0225
VIVICA SIMMONS
Counselor (Mental Health)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (703) 270-0225
ALEJANDRA P RODRIGUEZ HERNANDEZ LPC-R
Counselor (Professional)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (703) 270-0225
WOONI F KIM PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (571) 977-6870
OSITA MGBENDI DNP- PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (571) 977-6870
FARIA SHARMEEN MSW
Social Worker
10721 MAIN ST STE 2400
FAIRFAX, VA 22030
Fairfax City (703) 270-0225

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerly Henriquez's NPI number?

The NPI number for Jerly Henriquez is 1063225225. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Jerly Henriquez located?

Jerly Henriquez practices at 10721 Main St Ste 2400, Fairfax, VA 22030. The listed phone number is (703) 270-0225.

What is Jerly Henriquez's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jerly Henriquez enrolled in Medicare?

Yes. Jerly Henriquez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerly Henriquez was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.