Jamie Lee Shull, LPC
Counselor, Professional in Stafford, VA. Individual provider (NPI-1).
NPI number1013767557
StatusActive
Last updated in NPPESMar 26, 2024
Details
- NPI
- 1013767557
- Entity type
- Individual (NPI-1)
- Name
- Jamie Lee Shull
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2024
- Certification date
- Mar 21, 2024
- Last updated
- Mar 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 0701012910 | VA | Yes |
Practice location
2052 Richmond Hwy Ste 201Stafford, VA 22554-7286
Phone 540-699-0226
Mailing address
518 Gleneagle DrFredericksburg, VA 22405-2049
Phone 202-510-0390
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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