Brandi Long, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2855 Red Lane Rd
Powhatan, VA 23139-5121

Phone

(804) 495-1088

NPI assigned

Apr 29, 2009

Sex

Female

Sole proprietor

No

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.

• Modern Wellness, LLC

  • Counselor
  • Powhatan, VA
  • NPI 1124692876
  NPD Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

• Brandi Weaver Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2023.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1619111069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 RED LANE RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395121",
            "telephone_number": "804-382-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 RED LANE RD",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395121",
            "telephone_number": "804-495-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4581 Lifestyle Ln",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231124807",
            "country_code": "US",
            "telephone_number": "804-495-1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONG",
        "first_name": "BRANDI",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "WEAVER",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathryn Elizabeth Kong, WHNP
• Todd M Kuhn, D.M.D.
• Colleen Ann Kupesky, CNS
• Jeffrey Lanpher, LPC
• Judy Lipscomb
• Emily J Love, MSN, FNP-C
• Adam V Maclauchlan, M.D.
• Betty J Manasco, SLP
• Nicole Ellen Mann
• Maranda Bradbrook LLC

• All providers in Powhatan, VA
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.