Individual provider Active NPI

Brittany Tarzia, LPC

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1225720519
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012513 Issued in VA
Practice address
707 5TH St NE
Roanoke, VA 24016-2123
Phone
(540) 966-5808
NPI assigned
May 24, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701012513 VA
Professional Counselor 101YP2500X 0701012513 VA Primary

Addresses

Primary practice location

707 5TH St NE
Roanoke, VA 24016-2123

Mailing address

4917 Mount Holland Dr SW
Roanoke, VA 24018-1629
Phone (540) 597-9972

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
I20250321000131 VA Practitioner - Mental Health Counselor 5890217665 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701012513VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Professional CurrentSince Feb 18, 2025 Accepting new patients
Mainstream Mental Health Services CurrentSince Apr 1, 2026 Accepting new patients

Locations

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

707 5th St NE
Roanoke, VA 24016
Phone (540) 819-3622

7211 Cloverdale Rd
Roanoke, VA 24019
Phone (540) 966-5808

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": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1225720519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4917 MOUNT HOLLAND DR SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240181629",
            "telephone_number": "540-597-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 5TH ST NE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240162123",
            "telephone_number": "540-966-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARZIA",
        "first_name": "BRITTANY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701012513",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

Verify at the official NPI Registry.