Individual provider Active NPI

Nicole Brown

  • Mental Health Counselor
  • Fredericksburg, VA
National Provider Identifier
1033036629
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0704018038 Issued in VA
Practice address
9020 Spring Valley LN Apt 115
Fredericksburg, VA 22407-0003
Phone
(804) 946-0060
NPI assigned
Jul 2, 2026
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 0704018038 VA Primary

Addresses

NPPES NPI Registry

Primary practice location

9020 Spring Valley LN Apt 115
Fredericksburg, VA 22407-0003

Mailing address

9020 Spring Valley LN Apt 115
Fredericksburg, VA 22407-0003

Other practice location 1

12701 Marblestone Dr Ste 207
Woodbridge, VA 22192-8325
Phone (757) 346-1926

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2026.

{
    "created_epoch": "1782950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1033036629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9020 SPRING VALLEY LN APT 115",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9020 SPRING VALLEY LN APT 115",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224070003",
            "telephone_number": "804-946-0060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12701 Marblestone Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221928325",
            "country_code": "US",
            "telephone_number": "757-346-1926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704018038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.