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

Last updated

Mar 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Brandi Weaver Former name

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

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.

• Modern Wellness, LLC

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

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

{
    "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

• Mental Health Counselor in Powhatan, VA
• Providers in Powhatan, VA by specialty
• 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.