Organization Active NPI

Valley Center for Life

  • Mental Health Counselor
  • Roanoke Rapids, NC
National Provider Identifier
1134945264
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VALLEY CENTER FOR LIFE
Practice address
600 Jackson St Ste B
Roanoke Rapids, NC 27870-2646
Phone
(252) 676-6636
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Authorized official

Name
Brenna Braswell Carpenter, LCMHCSNPI 1134405376
Title
Owner
Phone
(252) 676-6636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

600 Jackson St Ste B
Roanoke Rapids, NC 27870-2646

Mailing address

125 Mina St
Roanoke Rapids, NC 27870-9215
Phone (252) 676-6636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251126002341 NC Part B Supplier - Clinic/Group Practice 6709376353 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke Rapids, NC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763683200000",
    "number": "1134945264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MINA ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278709215",
            "telephone_number": "252-676-6636",
            "fax_number": "252-674-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JACKSON ST STE B",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702646",
            "telephone_number": "252-676-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CENTER FOR LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_middle_name": "BRASWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-676-6636",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.