Healthcare Provider Details

I. General information

NPI: 1063520773
Provider Name (Legal Business Name): KERRI JENKINS RHODES LPC LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 SANTA ROSA RD SUITE 211
RICHMOND VA
23229
US

IV. Provider business mailing address

1005 RIDGE TOP RD
RICHMOND VA
23329
US

V. Phone/Fax

Practice location:
  • Phone: 804-282-9100
  • Fax: 804-282-3266
Mailing address:
  • Phone: 804-673-7046
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701002700
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number0717000904
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: