Individual provider Active NPI

Penny Barbara Patton, LPC, LMFT

  • Professional Counselor
  • Gloucester, VA
National Provider Identifier
1578837373
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701002556 Issued in VA
Practice address
6810 Teagle Lane
Gloucester, VA 23061
Phone
(804) 210-1104
Fax
(804) 210-1105
NPI assigned
Feb 27, 2012
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701002556 VA Primary
Marriage & Family Therapist 106H00000X 0717000881 VA

Addresses

Primary practice location

6810 Teagle Lane
Gloucester, VA 23061

Mailing address

PO Box 2133
Gloucester, VA 23061-2133
Phone (804) 210-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240409004816 VA Practitioner - Marriage and Family Therapist 6305284340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brshelton Companies LLCGroup PAC ID 3779944699, 9 clinicians

Practice addresses (Care Compare)

6810 Teagle LN
Gloucester, VA 23061-5386
Phone (804) 210-1104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701002556VAMDProfessional Counselor
0717000881VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brshelton Companies LLC Professional CurrentSince Mar 1, 2024 Accepting new patients
Steider & Associates, PLLC Past Accepting new patients

Locations

6810 Teagle Ln
Gloucester, VA 23061
Phone (804) 210-1104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1578837373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2133",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230612133",
            "telephone_number": "804-210-1104",
            "fax_number": "804-210-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 TEAGLE LANE",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "23061",
            "telephone_number": "804-210-1104",
            "fax_number": "804-210-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTON",
        "first_name": "PENNY",
        "middle_name": "BARBARA",
        "credential": "LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701002556",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, VA

Sources for this page

Verify at the official NPI Registry.