Active NPI
Brock Massey
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1023927068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15061
- Practice address
- 11717 Burt St Ste 203
Omaha, NE 68154-1500 - Phone
- (402) 302-2775
- Fax
- (833) 471-4570
- NPI assigned
- Sep 4, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 8422 | NE | |
| Mental Health Counselor | 101YM0800X | 15061 | NE | Primary |
Addresses
Primary practice location
11717 Burt St Ste 203
Omaha, NE 68154-1500
Mailing address
11717 Burt St Ste 203
Omaha, NE 68154-1500
Phone (402) 302-2775
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788480000000",
"number": "1023927068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11717 BURT ST STE 203",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541500",
"telephone_number": "402-302-2775",
"fax_number": "833-471-4570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11717 BURT ST STE 203",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541500",
"telephone_number": "402-302-2775",
"fax_number": "833-471-4570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "BROCK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-09-04",
"last_updated": "2026-09-04",
"certification_date": "2026-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NE",
"license": "8422",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "15061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.