MRS. BROOKE UTLEY (NPI# 1104121003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104121003 |
| Entity Type | Individual |
| Full Name | MRS. BROOKE UTLEY |
| Credential | LPC |
| Practice Address |
9720 Capital Ct 303 Manassas VA 20110-2044 |
| Practice Telephone | 8333825433 |
| Practice Fax Number | 8333825433 |
| Mailing Telephone | 8333825433 |
| Mailing Fax Number | 8333825433 |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2017-12-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701006033 | VA | Behavioral Health & Social Service Providers |
| Street Address |
9720 CAPITAL CT 303 |
| City | MANASSAS |
| State | VA |
| Zip Code | 20110-2044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396304754 | Angela Reed | Marriage & Family Therapist | 9720 Capital Ct, Manassas, VA 20110-2044 | 2019-06-10 |
| 1568976785 | Empowerment Therapy Center, Etc | Counselor | 9720 Capital Ct, 303, Manassas, VA 20110-2044 | 2017-11-27 |
| 1326576364 | Fall Springs Home and Health Care Services LLC | Home Health | 9720 Capital Ct, Manassas, VA 20110-2044 | 2017-06-02 |
| 1497100200 | Nathan Wagner | Counselor | 9720 Capital Ct, Suite 303, Manassas, VA 20110-2044 | 2016-04-29 |
| 1972960169 | Jessica Jacobs | Social Worker | 9720 Capital Ct, Suite 301, Office 3, Manassas, VA 20110-2044 | 2016-01-20 |
| 1962891788 | Delionel Meadows Sr. | Home Health | 9720 Capital Ct, Suite 301, Manassas, VA 20110-2044 | 2015-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
| 1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
| 1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
| 1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
| 1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
| 1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
| 1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
| 1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
| 1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
| 1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
| Find all providers in zip 20110 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038705 | Dwight Postell Vick | Counselor | 9401 Centreville Rd Ste 201, Manassas, VA 20110-5155 | 2019-11-26 |
| 1033769922 | Talako Industries | Counselor | 8711 Plantation Ln Ste 301, Manassas, VA 20110-8322 | 2019-09-12 |
| 1518528884 | Sarah Jane Clarius | Counselor | Prince William County Community Services Board, 7969 Ashton Ave, Manassas, VA 20109-2885 | 2019-06-26 |
| 1861995060 | Mylisa L Ickes | Counselor | 7982 Donegan Drive, Manassas, VA 20109 | 2018-03-14 |
| 1104339803 | June L. Toth, Inc. | Counselor | 9720 Capital Court, Suite 303, Manassas, VA 20110-2051 | 2017-11-16 |
| 1376074476 | Counseling 1-2-1 LLC | Counselor | 9200 Church St, 202, Manassas, VA 20110-5597 | 2017-03-21 |
| 1639619174 | Andrew Harar | Counselor | 9203 Acer Ln, Manassas, VA 20110-8916 | 2017-03-02 |
| 1386182236 | Katherine Michele Perez | Counselor | 9720 Capital Ct Ste 302, Manassas, VA 20110-2051 | 2017-02-10 |
| 1851845705 | Carrie E Collier | Counselor | 8361 Mineral Springs Dr, Manassas, VA 20112-2420 | 2016-08-09 |
| 1306296660 | Sandra-joy Gray | Counselor | 7331 Sheraton Dr, Manassas, VA 20112-3678 | 2016-06-17 |
| Find all providers in MANASSAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.