Organization Active NPI

Broken Path Counseling, PLLC

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1417819558
Registry record updated Mar 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
BROKEN PATH COUNSELING, PLLC
Practice address
6000 Iron Bridge Rd
North Chesterfield, VA 23234-5224
Phone
(804) 821-1008
NPI assigned
Nov 26, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2026

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

Authorized official

Name
Jennifer PerkinsonNPI 1215355458
Title
Owner
Phone
(804) 821-1008

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

6000 Iron Bridge Rd
North Chesterfield, VA 23234-5224

Mailing address

PO Box 4155
Midlothian, VA 23112-0003
Phone (804) 322-9870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260210002618 VA Part B Supplier - Clinic/Group Practice 6305325226 Receives reassigned benefits from 1 practitioner
Practice locations: North Chesterfield, VA

National Provider Directory

National Provider Directory

Locations

6000 Iron Bridge Rd
North Chesterfield, VA 23234
Phone (804) 821-1008

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": "1764115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1417819558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4155",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231120003",
            "telephone_number": "804-322-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 IRON BRIDGE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232345224",
            "telephone_number": "804-821-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN PATH COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-26",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "PERKINSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-821-1008"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 30, 2026; 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.