Organization Active NPI

Babbling Brook Counseling Services PLLC

  • Clinical Social Worker
  • Roanoke, VA
National Provider Identifier
1407529779
Registry record updated Oct 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BABBLING BROOK COUNSELING SERVICES PLLC
Practice address
302 Washington Ave SW Ste B
Roanoke, VA 24016-4312
Phone
(540) 524-9918
Fax
(540) 215-7226
NPI assigned
Jul 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2021

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

Authorized official

Name
Brooke Alston Jernigan, LCSWNPI 1386221430
Title
Owner
Phone
(540) 524-9918

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

302 Washington Ave SW Ste B
Roanoke, VA 24016-4312

Mailing address

1140 Bramlett Rd
Moneta, VA 24121-6246
Phone (540) 525-0908

Other practice location 1

1140 Bramlett Rd
Moneta, VA 24121-6246
Phone (540) 525-0908

Other identifiers 1

IdentifierTypeStateIssuer
601531914MedicaidVA

Other names 1

  • Brooke A. Jernigan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210812001682 VA Part B Supplier - Clinic/Group Practice 0840694881 Receives reassigned benefits from 1 practitioner
Practice locations: Roanoke, VA

National Provider Directory

National Provider Directory

Locations

302 Washington Ave SW
Ste B
Roanoke, VA 24016
Phone (540) 524-9918

302 Washington Ave SW
Roanoke, VA 24016

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634947200000",
    "number": "1407529779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 BRAMLETT RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241216246",
            "telephone_number": "540-525-0908",
            "fax_number": "540-215-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WASHINGTON AVE SW STE B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240164312",
            "telephone_number": "540-524-9918",
            "fax_number": "540-215-7226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Bramlett Rd",
            "address_purpose": "LOCATION",
            "city": "Moneta",
            "state": "VA",
            "postal_code": "241216246",
            "country_code": "US",
            "telephone_number": "540-525-0908",
            "fax_number": "540-215-7226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BABBLING BROOK COUNSELING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-31",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "ALSTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-524-9918",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601531914",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooke A. Jernigan",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Brooke A. Jernigan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.