Active NPI
Brandy Peterson, LPC
- Mental Health Counselor
- Chase City, VA
National Provider Identifier
1922468396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701006110
- Practice address
- 239 E 5TH St
Chase City, VA 23924-1431 - Phone
- (434) 372-3002
- Fax
- (434) 372-3007
- NPI assigned
- Feb 29, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701006110 | VA | Primary |
Addresses
Primary practice location
239 E 5TH St
Chase City, VA 23924-1431
Mailing address
239 E 5TH St
Chase City, VA 23924-1431
Phone (434) 372-3002
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 |
|---|---|---|---|
| 0701006110 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456704000000",
"number": "1922468396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "239 E 5TH ST",
"city": "CHASE CITY",
"state": "VA",
"postal_code": "239241431",
"telephone_number": "434-372-3002",
"fax_number": "434-372-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "239 E 5TH ST",
"city": "CHASE CITY",
"state": "VA",
"postal_code": "239241431",
"telephone_number": "434-372-3002",
"fax_number": "434-372-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERSON",
"first_name": "BRANDY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-29",
"last_updated": "2016-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701006110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chase City, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.