Active NPI
Heather Van Brackel
- Counselor
- Millersville, MD
National Provider Identifier
1699559567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LGP14226
- Practice address
- 8229 Cloverleaf Dr Ste 425
Millersville, MD 21108-1594 - Phone
- (443) 599-8157
- NPI assigned
- Aug 22, 2023
- Last updated
- Aug 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LGP14226 | MD | Primary |
Addresses
Primary practice location
8229 Cloverleaf Dr Ste 425
Millersville, MD 21108-1594
Mailing address
2421 Arapaho Way
Gambrills, MD 21054-1627
Phone (610) 585-9136
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
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14226 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1699559567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 ARAPAHO WAY",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541627",
"telephone_number": "610-585-9136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8229 CLOVERLEAF DR STE 425",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081594",
"telephone_number": "443-599-8157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN BRACKEL",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-22",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LGP14226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, MD
- University of Maryland Community Medical Group, Inc.
- University of Maryland Community Medical Group, Inc.
- University of Maryland Pediatric Associates, PA
- Aden Urbaniak
- Brian Donald Valle, D.D.S.
- Rachel L Vargas
- Shariffa Nicole Vaughn, LCSW
- Angela B. Velez, LPC, LCPC, NCC
- Verbal Beginnings LLC
- Verbal Beginnings LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.