Active NPI
Byron Branham
- Professional Counselor
- Virginia Beach, VA
National Provider Identifier
1093161937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401225656
- Practice address
- 1812 Burwillow Dr
Virginia Beach, VA 23464-8945 - Phone
- (757) 636-6729
- NPI assigned
- May 10, 2016
- Last updated
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701006597 | VA | |
| Professional Counselor | 101YP2500X | 6401225656 | MI | Primary |
Addresses
Primary practice location
1812 Burwillow Dr
Virginia Beach, VA 23464-8945
Mailing address
1812 Burwillow Dr
Virginia Beach, VA 23464-8945
Phone (757) 636-6729
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
29750 Harper Ave
Saint Clair Shores, MI 48082-2607
48673 Hayes Rd
Shelby Township, MI 48315-4403
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701006597 | VA | MD | Mental Health Counselor |
| 6401225656 | MI | MD | Professional Counselor |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Saint Clair Shores, MI
- NPI 1801102744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1093161937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1812 BURWILLOW DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648945",
"telephone_number": "757-636-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1812 BURWILLOW DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234648945",
"telephone_number": "757-636-6729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANHAM",
"first_name": "BYRON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-10",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701006597",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401225656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.