Individual provider Active NPI

Bryan Joseph Trotman

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1568136372
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
376905001 Issued in VA
Practice address
5215 Colley Ave Ste 122
Norfolk, VA 23508-2166
Phone
(757) 629-4352
NPI assigned
Aug 4, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 376905001 VA Primary

Addresses

Primary practice location

5215 Colley Ave Ste 122
Norfolk, VA 23508-2166

Mailing address

5215 Colley Ave Ste 122
Norfolk, VA 23508-2166
Phone (757) 629-4352

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
376905001VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
C.a.R.E LLC Mental Health CurrentSince Aug 13, 2021 Accepting new patients

Locations

5215 Colley Ave
Ste 122
Norfolk, VA 23508
Phone (757) 629-4352

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1568136372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 COLLEY AVE STE 122",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082166",
            "telephone_number": "757-629-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5215 COLLEY AVE STE 122",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235082166",
            "telephone_number": "757-629-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTMAN",
        "first_name": "BRYAN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "376905001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.