Active NPI
Carly Joslyn Stevens
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1013842533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 704017814
- Practice address
- 3900 W Broad St
Richmond, VA 23230-3914 - Phone
- (804) 239-1221
- Fax
- (804) 239-1221
- NPI assigned
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 704017814 | VA | Primary |
Addresses
Primary practice location
3900 W Broad St
Richmond, VA 23230-3914
Mailing address
3900 W Broad St
Richmond, VA 23230-3914
Phone (804) 239-1221
Other names 1
- Carly Joslyn Bernatovicz
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1013842533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303914",
"telephone_number": "804-239-1221",
"fax_number": "804-239-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W BROAD ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232303914",
"telephone_number": "804-239-1221",
"fax_number": "804-239-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "CARLY",
"middle_name": "JOSLYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-16",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "704017814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLY",
"last_name": "BERNATOVICZ",
"middle_name": "JOSLYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.