Organization Active NPI

Brave Within Counseling LLC

  • Professional Counselor
  • Newport News, VA
National Provider Identifier
1679172019
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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

Authorized official

Name
Hyon J. Bachman, LPCNPI 1184081192
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20240515001022 VA Part B Supplier - Clinic/Group Practice 7810338381 Receives reassigned benefits from 3 practitioners
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.