Individual provider Active NPI

Courtney Brookman, LPC

  • Mental Health Counselor
  • Newport News, VA
National Provider Identifier
1205617677
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701012945 Issued in VA
Practice address
733 Thimble Shoals Blvd
Ste 170 Office 128
Newport News, VA 23606
Phone
(757) 797-5192
NPI assigned
Oct 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012945 VA Primary

Addresses

Primary practice location

733 Thimble Shoals Blvd
Ste 170 Office 128
Newport News, VA 23606

Mailing address

733 Thimble Shoals Blvd Ste 170
Office 128
Newport News, VA 23606-4260
Phone (757) 797-5192

Other practice location 1

825 Diligence Dr Ste 100
Newport News, VA 23606-4271
Phone (757) 797-5192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312002944 VA Practitioner - Mental Health Counselor 4789020710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

733 Thimble Shoals Blvd
Suite 170
Newport News, VA 23606-4260
Phone (757) 797-5192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012945VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Feb 28, 2024 Accepting new patients
Brookman Counseling and Psychotherapy LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

733 Thimble Shoals Blvd
Ste 170
Newport News, VA 23606
Phone (757) 537-8224

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1205617677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 THIMBLE SHOALS BLVD STE 170",
            "address_2": "OFFICE 128",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064260",
            "telephone_number": "757-797-5192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 THIMBLE SHOALS BLVD",
            "address_2": "STE 170 OFFICE 128",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "23606",
            "telephone_number": "757-797-5192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Diligence Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Newport News",
            "state": "VA",
            "postal_code": "236064271",
            "country_code": "US",
            "telephone_number": "757-797-5192",
            "fax_number": "757-353-2145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROOKMAN",
        "first_name": "COURTNEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.