Individual provider Active NPI

Brandon Patton

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1285342600
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
804 Moorefield Park Dr Ste 204
North Chesterfield, VA 23236-3670
Phone
(501) 326-1770
NPI assigned
Nov 14, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701011883 VA
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

804 Moorefield Park Dr Ste 204
North Chesterfield, VA 23236-3670

Mailing address

804 Moorefield Park Dr Ste 204
North Chesterfield, VA 23236-3670
Phone (501) 326-1770

Other practice location 1

707 N Courthouse Rd
North Chesterfield, VA 23236-4045
Phone (804) 924-2236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0701011883VAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1285342600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 MOOREFIELD PARK DR STE 204",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363670",
            "telephone_number": "501-326-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MOOREFIELD PARK DR STE 204",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232363670",
            "telephone_number": "501-326-1770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Courthouse Rd",
            "address_purpose": "LOCATION",
            "city": "North Chesterfield",
            "state": "VA",
            "postal_code": "232364045",
            "country_code": "US",
            "telephone_number": "804-924-2236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATTON",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011883",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.