Penny Brockman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701013743 Issued in VA

Practice address

4451 Longhill Rd
Williamsburg, VA 23188-1534

Phone

(757) 755-4149

Fax

(757) 282-2989

NPI assigned

Jun 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anchored Rock Counseling LLC

  • Professional Counselor
  • Williamsburg, VA
  • NPI 1932925245
  Medicare reassignment NPD
• Complete Therapeutic Solutions, LLC

  • Marriage & Family Therapist
  • Williamsburg, VA
  • NPI 1326672502
  NPD

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1235970989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 MCLAWS CIR STE 1A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855860",
            "telephone_number": "757-251-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 LONGHILL RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881534",
            "telephone_number": "757-755-4149",
            "fax_number": "757-282-2989"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "376 McLaws Cir Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Williamsburg",
            "state": "VA",
            "postal_code": "231855860",
            "country_code": "US",
            "telephone_number": "757-251-0225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "PENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701013743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Brewitt, FNP
• Retecka Bright
• Asheleigh M Britt
• William Broas, DDS
• Stephanie Marie Brockler Robinson, M.S., CFY-SLP
• Katelyn Brockmiller, RDN
• Marianne Brooks
• Robert Midthun Brooks, MD
• Tara Brooks, FNP
• Travis Browder, DPT

• Professional Counselor in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.