Individual provider Active NPI

Ajanna Brockenbaugh, MHC

  • Mental Health Counselor
  • Briarcliff Manor, NY
National Provider Identifier
1659007961
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
015871 Issued in NY
Practice address
1872 Pleasantville Rd
Ste 1 Pmb1207
Briarcliff Manor, NY 10510
Phone
(914) 919-9323
NPI assigned
Jul 28, 2022
Last updated
Jul 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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 015871 NY Primary

Addresses

Primary practice location

1872 Pleasantville Rd
Ste 1 Pmb1207
Briarcliff Manor, NY 10510

Mailing address

4 Leawood Dr
Briarcliff Manor, NY 10510-1316
Phone (646) 872-4645

Other practice location 1

4 Leawood Dr
Briarcliff Manor, NY 10510-1316
Phone (646) 872-4645

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
015871NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity & Wellness Mental Health Past Accepting new patients
Clarity and Wellness Mental Health Counseling Mental Health Past Accepting new patients

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": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1659007961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 LEAWOOD DR",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105101316",
            "telephone_number": "646-872-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 PLEASANTVILLE RD",
            "address_2": "STE 1 PMB1207",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "10510",
            "telephone_number": "914-919-9323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Leawood Dr",
            "address_purpose": "LOCATION",
            "city": "Briarcliff Manor",
            "state": "NY",
            "postal_code": "105101316",
            "country_code": "US",
            "telephone_number": "646-872-4645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKENBAUGH",
        "first_name": "AJANNA",
        "credential": "MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "015871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Briarcliff Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; 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.