Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Penny Brockman

Individual provider Professional Counselor · NPI 1235970989

Penny Brockman is a Mental Health Counselor in Williamsburg, Virginia. Qualified in 2022, 4 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2024
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Practice location Address checks out

4451 Longhill Rd
Williamsburg, VA 23188-1534
Phone: (757) 755-4149
Fax: (757) 282-2989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 376 McLaws Cir Ste 1a, Williamsburg, VA 23185-5860 — (757) 251-0225

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0701013743 (VA)

Record details

NPI number1235970989
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing address376 McLaws Cir Ste 1a, Williamsburg, VA 23185-5860

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Williamsburg