Brockman Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

65542 Issued in TX

Legal business name

BROCKMAN COUNSELING LLC

Practice address

5301 Village Creek Dr
Ste B
Plano, TX 75093-4838

Phone

(972) 372-9644

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Patrick Brockman

Title

Owner

Phone

(972) 372-9644

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1134471535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 VILLAGE CREEK DR",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934838",
            "telephone_number": "972-372-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 VILLAGE CREEK DR",
            "address_2": "STE B",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750934838",
            "telephone_number": "972-372-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROCKMAN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "BROCKMAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-372-9644",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Plano, TX
• Providers in Plano, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.