Brenda Burkholder, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701005130 Issued in VA

Practice address

7319 Martin St
2
Gloucester, VA 23061-5358

Phone

(804) 695-2557

Fax

(804) 695-0110

NPI assigned

Nov 10, 2011

Last updated

Nov 10, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chesapeake Counseling Associates PC

  • Mental Health Counselor
  • Gloucester, VA
  • NPI 1407069230
  NPD (past)

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

{
    "created_epoch": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1083991608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230610460",
            "telephone_number": "804-695-2557",
            "fax_number": "804-695-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7319 MARTIN ST",
            "address_2": "2",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230615358",
            "telephone_number": "804-695-2557",
            "fax_number": "804-695-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHOLDER",
        "first_name": "BRENDA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annabel Britton, MSN, CFNP
• Jeanne Quarles Brooks, MD
• Joanne P. Brown, LPC, LMFT
• Brshelton Companies LLC (Steider and Associates)
• Hugh McLellan Bryan III, M.D.
• Erin Butler
• Meghan Butler
• Jason Cahill
• Lee Ann Cahill
• Heidi Lynn Callis, BCBA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.