Individual provider Active NPI

Roy James Branklin, LPC

  • Professional Counselor
  • Fredericksburg, VA
National Provider Identifier
1235868829
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011528 Issued in VA
Practice address
5820 Jackson Rd
Fredericksburg, VA 22407-6709
Phone
(540) 903-6276
NPI assigned
Jun 8, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 0701011528 VA Primary

Addresses

Primary practice location

5820 Jackson Rd
Fredericksburg, VA 22407-6709

Mailing address

5820 Jackson Rd
Fredericksburg, VA 22407-6709
Phone (540) 903-6276

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Fredericiskburg Direct

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
I20241219002848 VA Practitioner - Mental Health Counselor 8527595271 Practice locations: Fredericksburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4812 Southpoint Pkwy
Fredericksburg, VA 22407-2658
Phone (540) 898-5283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
0701011528VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Solutions of VA LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

10500 Wakeman Dr
Ste 103
Fredericksburg, VA 22407
Phone (540) 895-2110

4812 Southpoint Pkwy
Fredericksburg, VA 22407
Phone (540) 898-5283

Organizations & group practices 1

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": "1654646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1235868829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 JACKSON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076709",
            "telephone_number": "540-903-6276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 JACKSON RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224076709",
            "telephone_number": "540-903-6276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANKLIN",
        "first_name": "ROY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-08",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Fredericiskburg",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5820 Jackson Rd",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224076709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.