Active NPI
Brent C Peterson, PH.D, LPC, ATR,
- Professional Counselor
- Williamsburg, VA
National Provider Identifier
1497934400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004570
- Practice address
- 1309 Jamestown Rd Ste 201
Williamsburg, VA 23185-3380 - Phone
- (757) 284-4554
- Fax
- (757) 500-0134
- NPI assigned
- Oct 25, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004570 | VA | Primary |
Addresses
Primary practice location
1309 Jamestown Rd Ste 201
Williamsburg, VA 23185-3380
Mailing address
1309 Jamestown Rd Ste 201
Williamsburg, VA 23185-3380
Phone (757) 284-4554
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701004570 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assessment & Counseling of Williamsburg PLC | Professional | Current | Accepting new patients |
| Drbacw Inc | Professional | Current | Accepting new patients |
| Colonial Behavioral Health | Past | Accepting new patients |
Locations
1101 Professional Dr
Ste C
Williamsburg, VA 23185
Phone (757) 645-3795
1309 Jamestown Rd
Ste 201
Williamsburg, VA 23185
Phone (757) 284-4554
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2b8c86f5-c497-45b0-94ed-0102e20d1c70/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Williamsburg, VA
- NPI 1134727522
-
- Professional Counselor
- Williamsburg, VA
- NPI 1669362570
-
- Community/Behavioral Health Agency
- Williamsburg, VA
- NPI 1760565915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760313600000",
"number": "1497934400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1309 JAMESTOWN RD STE 201",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853380",
"telephone_number": "757-284-4554",
"fax_number": "757-500-0134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 JAMESTOWN RD STE 201",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "231853380",
"telephone_number": "757-284-4554",
"fax_number": "757-500-0134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "BRENT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "PH.D, LPC, ATR,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-25",
"last_updated": "2025-10-13",
"certification_date": "2025-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.