Active NPI
Rueben Brock, LPC
- Professional Counselor
- McMurray, PA
National Provider Identifier
1144636101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC007688
- Practice address
- 4150 Washington Rd
MC Murray, PA 15317-2534 - Phone
- (724) 255-3544
- NPI assigned
- Jul 10, 2014
- Last updated
- Jul 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC007688 | PA | Primary |
Addresses
Primary practice location
4150 Washington Rd
MC Murray, PA 15317-2534
Mailing address
303 Dearment Pkwy
Pittsburgh, PA 15241
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC007688 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brock Ventures | Professional | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404950400000",
"number": "1144636101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 DEARMENT PKWY",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 WASHINGTON RD",
"city": "MC MURRAY",
"state": "PA",
"postal_code": "153172534",
"telephone_number": "724-255-3544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "RUEBEN",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-07-10",
"last_updated": "2014-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC007688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McMurray, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.