Valayshia T Brookins, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

004388 Issued in CT

Practice address

1635 Capitol Ave # 2
Bridgeport, CT 06604-1525

Phone

(203) 543-6615

Fax

(203) 371-8200

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1467077149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 CAPITOL AVE # 2",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041525",
            "telephone_number": "203-543-6615",
            "fax_number": "203-371-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 CAPITOL AVE # 2",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041525",
            "telephone_number": "203-543-6615",
            "fax_number": "203-371-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKINS",
        "first_name": "VALAYSHIA",
        "middle_name": "T",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "004388",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "004388",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "004388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "004388",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valayshia@jewelofjoycounseling.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1635 Capitol Ave # 2",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066041525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "valayshia@jewelofjoycounseling.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1635 Capitol Ave # 2",
            "city": "Bridgeport",
            "state": "CT",
            "country_code": "US",
            "postal_code": "066041525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.