JENNIFER LEE
NPI 1497422257
Marriage & Family Therapist in Fairfax, VA

Active since August 27, 2021PECOS Enrolled
10520 JUDICIAL DR, FAIRFAX, VA 22030(703) 246-2100 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Lee NPPES

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

JENNIFER LEE (NPI 1497422257) is an individual marriage & family therapist in Fairfax, Virginia, licensed in Virginia (0717001999) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1497422257
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJENNIFER LEE
Location Address10520 JUDICIAL DRFairfax, VA 22030-5115
Mailing Address8221 Willow Oaks Corporate Drive, Csb Jail Diversion- 2 EastFairfax, VA 22031 · (703) 207-7706
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 27, 2021
Last NPPES UpdateMay 28, 2024
NPPES CertifiedMay 28, 2024
NPI 1497422257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in VA · 0717001999
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
10520 JUDICIAL DR, Fairfax, VA 22030

Secondary Practice Locations 2

Location 14110 Chain Bridge RdFairfax, VA 22030-4020 · Phone (703) 691-7320
Location 28221 Willow Oaks Corporate Drive, CSB Jail Diversion- 2 EastFairfax, VA 22031 · Phone (703) 207-7706

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Lee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022598010
PECOS Enrollment IDI20260218001155
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 18

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

Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Counselor
10520 JUDICIAL DR
FAIRFAX, VA 22030
Psychologist (Clinical)
10520 JUDICIAL DR, FORENSICS PROGRAM, FAIRFAX COUNTY ADULT DETENTION CENTE
FAIRFAX, VA 22030
Counselor (Professional)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Social Worker (Clinical)
10520 JUDICIAL DR
FAIRFAX, VA 22030
Counselor (Addiction (Substance Use Disorder))
10520 JUDICIAL DR
FAIRFAX, VA 22030
Counselor (Professional)
10520 JUDICIAL DR
FAIRFAX, VA 22030

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 Jennifer Lee's NPI number?

The NPI number for Jennifer Lee is 1497422257. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Jennifer Lee located?

Jennifer Lee practices at 10520 Judicial Dr, Fairfax, VA 22030. The listed phone number is (703) 246-2100.

What is Jennifer Lee's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Jennifer Lee enrolled in Medicare?

Yes. Jennifer Lee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Lee was last updated on May 28, 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.