Brain Matters Therapy, PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BRAIN MATTERS THERAPY, PLLC

Practice address

546 Virginia Ave
Bluefield, VA 24605-1729

Phone

(276) 970-9747

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

SUNSHINE COUNSELING CENTER, LLCAs reported in NPPES

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

Authorized official

Name

Antonia Porter, LPCNPI 1730437336

Title

Owner

Phone

(276) 970-9747

Specialties & licenses 1

Addresses

Other names 1

• Sunshine Counseling Center, LLC Former legal business name

Tax ID family

Brain Matters Therapy PLLC2 organizations share this tax ID, including this one

Part of

Brain Matters Therapy PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brain Matters Therapy, PLLC

  • Professional Counselor
  • Bluefield, VA
  • NPI 1174081988
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonia Jo Lynn Porter, MASTER OF SCIENCE

  • Professional Counselor
  • Bluefield, VA
  • NPI 1730437336
  Authorized official Same address or phone

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1013593805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "546 VIRGINIA AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051729",
            "telephone_number": "276-970-9747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 VIRGINIA AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051729",
            "telephone_number": "276-970-9747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN MATTERS THERAPY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUNSHINE COUNSELING CENTER, LLC",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "ANTONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-970-9747",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sunshine Counseling Center, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bluestone Health Association, Inc. (Bluestone Health Clinic)
• Meghan Lee Bohach
• Victoria Bourne
• Natalie Lisa Bowling
• Virginia Faye Bradley, DNP PMHNP
• Brain Matters Therapy, PLLC
• Jacqueline Hastings Brown, VCU MSW INTERN
• Michael Lee Browning
• Cathy Lynn Bryson, NP-C
• Derek S Buck, MD DC

• Professional Counselor in Bluefield, VA
• Providers in Bluefield, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.