JAMIE LYN SQUIRES – Professional Counselor, NPI 1215619200

JAMIE LYN SQUIRES is a healthcare provider. based in Henrico, Virginia. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for JAMIE LYN SQUIRES is 1215619200

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JAMIE LYN SQUIRES
NPI
1215619200
Phone
(804) 426-3005
Address
6921 OSBORNE TPKE
Enumeration Date
1 August 2023
Last Update Date
1 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8043988401
Graduation Year
2020 (6 years ago)
PAC ID
6608227327
Group Practice PAC ID
7618149865
Professional Enrollment ID
I20240108000828
Address ID
VA231163845ME7489XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

1,998 MENTAL HEALTH COUNSELOR in VA

Provider Addresses for JAMIE LYN SQUIRES

  • 6921 OSBORNE TPKE

    HENRICO, VA 232315658

    Phone: (804) 426-3005

    Type: Mailing

  • 7489 RIGHT FLANK RD STE 330

    MECHANICSVILLE, VA 231163845

    Phone: (804) 398-8401

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240108000828IMental Health CounselorVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23231)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618149865View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerVA
Clinical Social WorkerVA
Mental Health CounselorVA
Clinical Social WorkerVA
-VA
Mental Health CounselorVA
-VA
Nurse PractitionerVA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What federal number belongs to JAMIE LYN SQUIRES?
The federal identifier for JAMIE LYN SQUIRES is NPI 1215619200.
Does this profile mean JAMIE LYN SQUIRES is currently active?
Yes — JAMIE LYN SQUIRES appears active in the national provider directory.
Can you summarize JAMIE LYN SQUIRES's specialty in plain language?
Clinically, the directory lists JAMIE LYN SQUIRES with Professional Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for JAMIE LYN SQUIRES?
The page summarizes Henrico, Virginia for JAMIE LYN SQUIRES; expand the address list for detail.
How can I contact JAMIE LYN SQUIRES?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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