Brenda C. Rockwell, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14744 Issued in FL

Practice address

3930 S Nova Rd Ste 307
Port Orange, FL 32127-9293

Phone

(386) 866-2988

NPI assigned

Sep 14, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Brenda C. Stevens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Chrysalis Counseling Center LLC

  • Mental Health Counselor
  • Port Orange, FL
  • NPI 1356956114
  NPD Authorized official

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1942636584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 HARNDEN RD W",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321297415",
            "telephone_number": "386-256-6129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 S NOVA RD STE 307",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279293",
            "telephone_number": "386-866-2988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1423 Harnden Rd W",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321297415",
            "country_code": "US",
            "telephone_number": "386-931-8993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROCKWELL",
        "first_name": "BRENDA",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-14",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020114000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "STEVENS",
            "middle_name": "C.",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zachary King Roberts
• Ryan Robinette
• Alfonso Robinson Jr.
• Kamaria Robinson
• Randall John Rochester, DC
• Amanda Rodenbucher
• Madais Rodriguez-Vega, DC
• Chelsea Rodriguez
• Daniel Rodriguez
• Estelitis Rodriguez

• Mental Health Counselor in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.