Brock Thomas Kolby, E.D.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC142 Issued in CA

Practice address

2 S Green St
Sonora, CA 95370-4618

Phone

(209) 533-6265

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• County of Tuolumne

  • Community/Behavioral Health Agency
  • Sonora, CA
  • NPI 1417502188
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1114070729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "MURPHYS",
            "state": "CA",
            "postal_code": "952471306",
            "telephone_number": "209-728-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S GREEN ST",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953704618",
            "telephone_number": "209-533-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLBY",
        "first_name": "BROCK",
        "middle_name": "THOMAS",
        "credential": "E.D.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda K King
• Kings View Corporation
• Donald Scott Klatt, M.D.
• Robert H Kleinhans, D.C.
• Susan L Knopf
• Nolan Wayne Korando, DDS
• Geoffrey David Kraemer, DPM
• John Kramer, DC
• Guy Kieth Kristofic, RPH
• Nickol Rochelle Kurz

• Mental Health Counselor in Sonora, CA
• Providers in Sonora, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.