Active NPI
Brianna Velazquez, LPC-MHSP
- Professional Counselor
- Fort Campbell, KY
National Provider Identifier
1013460039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3682
- Practice address
- 650 Joel Dr
Fort Campbell, KY 42223-5318 - Phone
- (270) 412-0962
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3682 | TN | Primary |
Addresses
Primary practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Mailing address
348 Grassland Dr
Clarksville, TN 37043-1705
Phone (931) 538-9232
Other practice location 1
250 Cumberland Bend
Nashville, TN 37228
Phone (615) 726-3340
Other practice location 2
275 Cumberland Bnd
suite 237
Nashville, TN 37228-1805
Phone (615) 726-0125
Other practice location 3
275 Cumberland Bnd
suite 237
Nashville, TN 37228-1805
Phone (615) 726-0125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Cooperative, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Nashville, TN
- NPI 1083632897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1013460039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "348 GRASSLAND DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370431705",
"telephone_number": "931-538-9232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 JOEL DR",
"city": "FORT CAMPBELL",
"state": "KY",
"postal_code": "422235318",
"telephone_number": "270-412-0962"
}
],
"practiceLocations": [
{
"address_1": "250 Cumberland Bend",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "37228",
"country_code": "US",
"telephone_number": "615-726-3340",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Cumberland Bnd",
"address_2": "suite 237",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372281805",
"country_code": "US",
"telephone_number": "615-726-0125",
"fax_number": "615-743-1682",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "275 Cumberland Bnd",
"address_2": "suite 237",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372281805",
"country_code": "US",
"telephone_number": "615-726-0125",
"fax_number": "615-743-1682",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ",
"first_name": "BRIANNA",
"name_prefix": "Ms.",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "3682",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.