BBC Counseling and Support Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BBC COUNSELING AND SUPPORT SERVICES, LLC

Practice address

6391 Rowanberry Dr Apt 414
Elkridge, MD 21075-7032

Phone

(301) 720-0198

Fax

(301) 288-1451

NPI assigned

Oct 10, 2021

Last updated

Oct 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brenda Burruss ChavisNPI 1003442286

Title

President

Phone

(404) 550-1684

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Brenda Burruss Chavis, MD

  • Mental Health Counselor
  • Elkridge, MD
  • NPI 1003442286
  NPD Authorized official

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

{
    "created_epoch": "1633824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633824000000",
    "number": "1225790926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 MAIN ST UNIT 466",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207257520",
            "telephone_number": "301-720-0198",
            "fax_number": "301-288-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6391 ROWANBERRY DR APT 414",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210757032",
            "telephone_number": "301-720-0198",
            "fax_number": "301-288-1451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBC COUNSELING AND SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-10",
        "last_updated": "2021-10-10",
        "certification_date": "2021-10-10",
        "status": "A",
        "authorized_official_last_name": "CHAVIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "BURRUSS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-550-1684"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Elkridge, MD by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.