Individual provider Active NPI

Ashley Chantelle Brickhouse

  • Developmentally Disabled Services Day Training Agency
  • Norfolk, VA
National Provider Identifier
1912655119
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
3900 Issued in VA
Practice address
733 Marshall Ave
Norfolk, VA 23504-3531
Phone
(757) 337-7396
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 3900 VA Primary

Addresses

Primary practice location

733 Marshall Ave
Norfolk, VA 23504-3531

Mailing address

733 Marshall Ave
Norfolk, VA 23504-3531
Phone (757) 337-7396

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
3900VAMDDevelopmentally Disabled Services Day Training Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Brickhouse Options, LLC Day Training, Developmentally Disabled Services CurrentSince May 16, 2022 Accepting new patients
Inspired by U, LLC Day Training, Developmentally Disabled Services Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1912655119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 MARSHALL AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043531",
            "telephone_number": "757-337-7396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 MARSHALL AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043531",
            "telephone_number": "757-337-7396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKHOUSE",
        "first_name": "ASHLEY",
        "middle_name": "CHANTELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "VA",
            "license": "3900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.