Brenda Burruss Chavis, MD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC11224 Issued in MD

Practice address

6391 Rowanberry Dr Apt 414
Elkridge, MD 21075-7032

Phone

(404) 550-1684

Fax

(240) 366-1774

NPI assigned

Mar 19, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• BBC Counseling and Support Services, LLC

  • Mental Health Counselor
  • Elkridge, MD
  • NPI 1225790926
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641168000000",
    "number": "1003442286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MAIN ST UNIT 466",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207257520",
            "telephone_number": "404-550-1684",
            "fax_number": "240-366-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 ROWANBERRY DR APT 414",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757032",
            "telephone_number": "404-550-1684",
            "fax_number": "240-366-1774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVIS",
        "first_name": "BRENDA",
        "middle_name": "BURRUSS",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-19",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC11224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elkridge",
            "affiliation": "N",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bbccounseling.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@bbccounseling.com",
            "affiliation": "N",
            "endpointDescription": "BBC Counseling email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elkridge",
            "affiliation": "N",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elkridge",
            "affiliation": "N",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elkridge",
            "affiliation": "N",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Elkridge",
            "affiliation": "N",
            "address_1": "6391 Rowanberry Dr Apt 414",
            "city": "Elkridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210757032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Elkridge, MD
• Providers in Elkridge, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.