Meridith James Brock, LPCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CTB-2026-0475 Issued in NM

Practice address

4501 Shepard Rd NE Apt C106
Albuquerque, NM 87110-1803

Phone

(669) 290-2711

NPI assigned

Sep 6, 2019

Reactivated

Jun 11, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Meridith James Brock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Specialty

Mental Health Counselor

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1164071734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 SHEPARD RD NE APT C106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101803",
            "telephone_number": "669-290-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SHEPARD RD NE APT C106",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871101803",
            "telephone_number": "669-290-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "MERIDITH",
        "middle_name": "JAMES",
        "credential": "LPCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "deactivation_date": "2023-02-13",
        "reactivation_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2026-0475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERIDITH",
            "last_name": "BROCK",
            "middle_name": "JAMES",
            "credential": "LPCC, LPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cynthia Brock, LISW
• Jack A Brock, M.D.
• Kara Brock
• Kathryn M Brock, LCSW
• Maria Tonita Brock, L.I.S.W.
• Sonja Brock, MD
• Lucy M Brockman
• Elisabeth Brodersen, R.N.
• Adrienne Brogdon, LMT
• Linda Brohman, RN

• Mental Health Counselor in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Mental Health Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.