Brooke Stanley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006033 Issued in VA

Practice address

9720 Capital CT
303
Manassas, VA 20110-2044

Phone

(833) 382-5433

Fax

(833) 382-5433

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Brooke Utley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

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 and National Provider Directory roles.

• Empowerment Therapy Center, Etc

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1568976785
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1104121003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT",
            "address_2": "303",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102044",
            "telephone_number": "833-382-5433",
            "fax_number": "833-382-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9720 CAPITAL CT",
            "address_2": "303",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201102044",
            "telephone_number": "833-382-5433",
            "fax_number": "833-382-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "BROOKE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BROOKE",
            "last_name": "UTLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jacqueline Leigh Bowen St Clair, LCSW
• Betty Lewis St.Cyr, LCSW
• Haja Neneh Sta'Llone
• Eddie Ray Stallings Jr., DDS
• Alisha Noel Stanley
• Loucretia Stanton, OTR/L
• Michelle Lynne Starcher, RPH
• Martin Steven Stark, DPM
• Roselle Stark, MN, APRN, BC
• Carrie Jane Starkie, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.