PENNY BROCKMAN
NPI 1235970989
Counselor - Professional in Williamsburg, VA

Active since June 05, 2024PECOS EnrolledAccepts Medicare Assignment
4451 LONGHILL RD, WILLIAMSBURG, VA 23188(757) 755-4149(757) 282-2989 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 2, 2024, Jul 2, 2024, Jun 5, 2024 (3 updates tracked since 2024).

About Penny Brockman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENNY BROCKMAN (NPI 1235970989) is an individual professional provider in Williamsburg, Virginia, licensed in Virginia (0701013743) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Williamsburg, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235970989
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NamePENNY BROCKMAN
Location Address4451 LONGHILL RDWilliamsburg, VA 23188-1534
Mailing Address376 Mclaws Cir Ste 1aWilliamsburg, VA 23185-5860 · (757) 251-0225
Fax(757) 282-2989
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 5, 2024
Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1235970989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701013743
4451 LONGHILL RD, Williamsburg, VA 23188

Secondary Practice Location 1

Location 1376 McLaws Cir Ste 1AWilliamsburg, VA 23185-5860 · Phone (757) 251-0225

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Penny Brockman is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244769883
PECOS Enrollment IDI20250127000568
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Penny Brockman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
376 MCLAWS CIR STE 1A
Williamsburg, VA 23185
  • Reassigned Medicare billing, Virginia enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
4451 LONGHILL RD
WILLIAMSBURG, VA 23188
Counselor (Professional)
4451 LONGHILL RD
WILLIAMSBURG, VA 23188
Counselor (Professional)
4451 LONGHILL RD
WILLIAMSBURG, VA 23188

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penny Brockman's NPI number?

The NPI number for Penny Brockman is 1235970989. It was assigned to this individual provider in the NPPES registry on June 5, 2024.

Where is Penny Brockman located?

Penny Brockman practices at 4451 Longhill Rd, Williamsburg, VA 23188. The listed phone number is (757) 755-4149.

What is Penny Brockman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Penny Brockman enrolled in Medicare?

Yes. Penny Brockman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Penny Brockman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Penny Brockman reassigns Medicare benefits to Anchored Rock Counseling LLC (Williamsburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Penny Brockman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Penny Brockman accept?

Health plans from Oscar Health list Penny Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penny Brockman was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.