Brandon Wendell Farmer, M.S., CRC, C.P.

Key facts

NPI

1043465248

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

215 W Atlantic St
Emporia, VA 23847-1223

Phone

(434) 634-5181

Fax

(434) 634-4397

NPI assigned

Dec 2, 2008

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Science

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 2, 2008.

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1043465248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W ATLANTIC ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471223",
            "telephone_number": "434-634-5181",
            "fax_number": "434-634-4397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W ATLANTIC ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471223",
            "telephone_number": "434-634-5181",
            "fax_number": "434-634-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "BRANDON",
        "middle_name": "WENDELL",
        "name_prefix": "Mr.",
        "credential": "M.S., CRC, C.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-02",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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