Active NPI
Robert Hudgins Brock, LPC-A
- Professional Counselor
- Raleigh, NC
National Provider Identifier
1154962090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14865
- Practice address
- 3012 Falstaff Rd
Raleigh, NC 27610-1813 - Phone
- (919) 615-1027
- Fax
- (919) 615-1501
- NPI assigned
- Oct 2, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14865 | NC | Primary |
Addresses
Primary practice location
3012 Falstaff Rd
Raleigh, NC 27610-1813
Mailing address
2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001
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 |
|---|---|---|---|
| A14865 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1154962090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2670 DURHAM CHAPEL HILL BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072829",
"telephone_number": "919-251-9001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 FALSTAFF RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276101813",
"telephone_number": "919-615-1027",
"fax_number": "919-615-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "ROBERT",
"middle_name": "HUDGINS",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.