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DR. JELENA KECMANOVIC PH.D.
NPI 1104185776
Psychologist - Clinical in Arlington, VA

Active since May 16, 2012Opted out of Medicare · through Sep 28, 2027
2311 WILSON BLVD FL 3, ARLINGTON, VA 22201(202) 557-5174 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jelena Kecmanovic Ph.d. NPPES

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

DR. JELENA KECMANOVIC PH.D. (NPI 1104185776) is an individual clinical provider in Arlington, Virginia, licensed in Virginia (0810004572) and active in the NPI registry since May 2012. She has opted out of Medicare through September 28, 2027.

NPPES Registry Identity

NPI1104185776
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JELENA KECMANOVICCredential: PH.D.
Location Address2311 WILSON BLVD FL 3Arlington, VA 22201-5436
Mailing Address4824 41st St NwWashington, DC 20016-1708 · (202) 557-5174
Phone(202) 557-5174
Sole ProprietorYes
Enumeration DateMay 16, 2012
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1104185776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810004572
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2311 WILSON BLVD FL 3, Arlington, VA 22201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Jelena Kecmanovic Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 4, 2020 through September 28, 2027.

Opt-Out Effective DateFebruary 4, 2020
Opt-Out In Effect ThroughSeptember 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

THRIVEPOSSIBLE LLC
Speech-Language Pathologist
2311 WILSON BLVD FL 3
ARLINGTON, VA 22201
Arlington County (571) 622-8247
SONDOS MAHMOUD
Speech-Language Pathologist
2311 WILSON BLVD FL 3
ARLINGTON, VA 22201
Arlington County (571) 622-8247
BRIDGETTE MONIQUE PETERSON
Nurse Practitioner
2311 WILSON BLVD FL 3
ARLINGTON, VA 22201
Arlington County (804) 571-2336

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 Jelena Kecmanovic's NPI number?

The NPI number for Jelena Kecmanovic is 1104185776. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Where is Jelena Kecmanovic located?

Jelena Kecmanovic practices at 2311 Wilson Blvd Fl 3, Arlington, VA 22201. The listed phone number is (202) 557-5174.

What is Jelena Kecmanovic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jelena Kecmanovic enrolled in Medicare?

No. Jelena Kecmanovic has opted out of Medicare through September 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jelena Kecmanovic was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.