JERARD LAMARL ELLIOTT
NPI 1104433622
Counselor - Professional in Richmond, VA
NPI Status: Active since September 29, 2020
Contact Information
119 S 1ST ST APT 103
RICHMOND, VA
ZIP 23219
Phone: (757) 404-1169
- Individual
- Male
- Counselor
- Professional
- PECOS Enrolled
About JERARD ELLIOTT
This page provides the complete NPI Profile along with additional information for Jerard Elliott, a provider established in Richmond, Virginia with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1104433622 assigned on September 2020. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1104433622
- Provider Name
- JERARD LAMARL ELLIOTT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 119 S 1ST ST APT 103 RICHMOND, VA 23219
- Location Phone
- (757) 404-1169
- Mailing Address
- 119 S 1ST ST APT 103 RICHMOND, VA 23219
- Mailing Phone
- (757) 404-1169
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-29-2020
- Last Update Date
- 09-05-2024
- Code Navigator
Location Map
Secondary Locations
- 1308 Sherwood Ave
Richmond, VA 23220
(804) 828-3129
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 0701010764 (VA) |
Medicare Participation & PECOS Enrollment Status
Jerard Elliott is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for JERARD LAMARL ELLIOTT
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 4 | 3 | 3 | 6 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 8 | 3 | 6 | 6 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 8 + 3 + 6 + 6 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1104433622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1053913178 | MARATHON COUNSELING SERVICES, LLC Organization | Community/Behavioral Health | 119 S 1ST ST APT 103 RICHMOND, VA 23219 (757) 404-1169 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104433622, enumerated in the NPI registry as an "individual" on September 29, 2020
The provider is located at 119 S 1st St Apt 103 Richmond, Va 23219 and the phone number is (757) 404-1169
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
This NPI record was last updated on September 29, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.