NPIMap

Organization Active NPI

Kimberly Brodie & Assoc., Inc

Doing business as Awakenings Counseling Center

  • Counselor
  • Virginia Beach, VA
National Provider Identifier
1144334772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
KIMBERLY BRODIE & ASSOC., INC
Doing business as
Awakenings Counseling Center
Practice address
1008 Old Virginia Beach Rd
Suite 100
Virginia Beach, VA 23451-5564
Phone
(757) 422-2118
Fax
(757) 422-2388
NPI assigned
Aug 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kimberly Brodie-Harlan, PH.D., LCSWNPI 1104930759
Title
Clinical Director
Phone
(757) 422-2118

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
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

1008 Old Virginia Beach Rd
Suite 100
Virginia Beach, VA 23451-5564

Mailing address

1008 Old Virginia Beach Rd
Suite 100
Virginia Beach, VA 23451-5564
Phone (757) 422-2118

Other names 1

  • Awakenings Counseling Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040804000533 VA Part B Supplier - Clinic/Group Practice 1951372853 Receives reassigned benefits from 3 practitioners
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

1008 Old Virginia Beach Rd
Virginia Beach, VA 23451
Phone (757) 422-2118

1008 Old Virginia Beach Rd
Ste 100
Virginia Beach, VA 23451
Phone (757) 422-2118

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144334772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 OLD VIRGINIA BEACH RD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515564",
            "telephone_number": "757-422-2118",
            "fax_number": "757-422-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 OLD VIRGINIA BEACH RD",
            "address_2": "SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234515564",
            "telephone_number": "757-422-2118",
            "fax_number": "757-422-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY BRODIE & ASSOC., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRODIE-HARLAN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-422-2118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Awakenings Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.