Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Kaye Fariss

Individual provider Professional Counselor · NPI 1619650090

Jennifer Kaye Fariss is a Mental Health Counselor in Roanoke, Virginia. Qualified in 2023, 3 years ago. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023

Practice location Address checks out

5673 Airport Rd
Roanoke, VA 24012-1119
Phone: (540) 344-7700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701010815 (VA)

Record details

NPI number1619650090
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 10, 2023
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated

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