Active NPI
Brave Within Counseling LLC
- Professional Counselor
- Newport News, VA
National Provider Identifier
1679172019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- BRAVE WITHIN COUNSELING LLC
- Practice address
- 11815 Fountain Way Ste 300
Newport News, VA 23606-4448 - Phone
- (844) 502-7283
- Fax
- (757) 517-0612
- NPI assigned
- Oct 17, 2020
- Last updated
- Apr 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hyon J. Bachman, LPC
- Title
- Founder, Owner
- Phone
- (757) 746-4357
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
11815 Fountain Way Ste 300
Newport News, VA 23606-4448
Mailing address
969 Lacon Dr
Newport News, VA 23608-2526
Phone (757) 746-4357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Newport News, VA
- NPI 1184081192
-
- Mental Health Counselor
- Newport News, VA
- NPI 1669608915
-
- Professional Counselor
- Newport News, VA
- NPI 1104407626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650326400000",
"number": "1679172019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 LACON DR",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236082526",
"telephone_number": "757-746-4357",
"fax_number": "757-517-0612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11815 FOUNTAIN WAY STE 300",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236064448",
"telephone_number": "844-502-7283",
"fax_number": "757-517-0612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAVE WITHIN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-17",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A",
"authorized_official_last_name": "BACHMAN",
"authorized_official_first_name": "HYON",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "FOUNDER, OWNER",
"authorized_official_telephone_number": "757-746-4357",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.