Individual provider Active NPI

Brianna M Rodriguez, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Midlothian, VA
National Provider Identifier
1073263224
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024183747 Issued in VA
Practice address
15521 Midlothian Tpke Ste 105
Midlothian, VA 23113-7313
Phone
(804) 207-6737
NPI assigned
Mar 28, 2022
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024183747 VA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X 0001211493 VA

Addresses

Primary practice location

15521 Midlothian Tpke Ste 105
Midlothian, VA 23113-7313

Mailing address

15521 Midlothian Tpke Ste 105
Midlothian, VA 23113-7313
Phone (804) 207-6737

Other practice location 1

5310 Markel Rd Ste 102
Richmond, VA 23230-3030
Phone (804) 312-5498

Other names 1

  • Brianna Marie Walters Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220519001172 VA Practitioner - Nurse Practitioner 4183001712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

15521 Midlothian Tpke
Suite 105
Midlothian, VA 23113-7313
Phone (804) 207-6737

1901 E Franklin St
Suite 108
Richmond, VA 23223-6966
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0001211493VAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince May 11, 2022 Accepting new patients
Commonwealth Counseling Associates Inc Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients

Locations

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

15521 Midlothian Tpke
Ste 105
Midlothian, VA 23113
Phone (804) 423-1550

1901 E Franklin St
Ste 108
Richmond, VA 23223
Phone (804) 331-2570

5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.briannarodriguez@134000.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1073263224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15521 MIDLOTHIAN TPKE STE 105",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231137313",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5310 Markel Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303030",
            "country_code": "US",
            "telephone_number": "804-312-5498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BRIANNA",
        "middle_name": "M",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183747",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0001211493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "WALTERS",
            "middle_name": "MARIE",
            "credential": "MAIDEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

Verify at the official NPI Registry.