Active NPI
Valley Center for Life
- Mental Health Counselor
- Roanoke Rapids, NC
National Provider Identifier
1134945264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenna Braswell Carpenter, LCMHCS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Roanoke Rapids, NC
- NPI 1134405376
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
- Twin City Cardiology Associates, P.a.
- Twin County Rural Health Center, Inc.
- Universal Mental Health Services, Inc.
- Unlimited Health Services
- Urgent Cares of America North Carolina Inc
- Valley Center for Life Enrichment, PLLC
- Valley Hypertension-Nephrology Associates PA
- Valley Youth Substance Abuse Center
- Laila Gowani Valliani
- Maqsood Ahmed Valliani, MD
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.