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JERARD LAMARL ELLIOTT
NPI 1104433622
Counselor - Professional in Richmond, VA

Active since September 29, 2020PECOS Enrolled
119 S 1ST ST APT 103, RICHMOND, VA 23219(757) 404-1169 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Sep 29, 2020 (2 updates tracked since 2020).

About Jerard Lamarl Elliott NPPES

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

JERARD LAMARL ELLIOTT (NPI 1104433622) is an individual professional provider in Richmond, Virginia and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richmond.

NPPES Registry Identity

NPI1104433622
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJERARD LAMARL ELLIOTT
Location Address119 S 1ST ST APT 103Richmond, VA 23219-3760
Mailing Address119 S 1st St Apt 103Richmond, VA 23219-3760 · (757) 404-1169
Phone(757) 404-1169
Sole ProprietorNo
Enumeration DateSeptember 29, 2020
Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1104433622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 0701010764 (VA)
119 S 1ST ST APT 103, Richmond, VA 23219
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Secondary Practice Location 1

Location 11308 Sherwood AveRichmond, VA 23220-1210 · Phone (804) 828-3129 · Fax (804) 628-1236

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerard Lamarl Elliott is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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

MARATHON COUNSELING SERVICES, LLC
Community/Behavioral Health
119 S 1ST ST APT 103
RICHMOND, VA 23219
Richmond City (757) 404-1169

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 Jerard Elliott's NPI number?

The NPI number for Jerard Elliott is 1104433622. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Where is Jerard Elliott located?

Jerard Elliott practices at 119 S 1st St Apt 103, Richmond, VA 23219. The listed phone number is (757) 404-1169.

What is Jerard Elliott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jerard Elliott enrolled in Medicare?

Yes. Jerard Elliott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerard Elliott was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.