Karin Brockelman, PHD, CRC, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6944 Issued in SC

Practice address

1898 Calhoun St Ste 5
Columbia, SC 29201-2650

Phone

(803) 936-2461

NPI assigned

Nov 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1446681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1194198671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012650",
            "telephone_number": "803-936-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1898 CALHOUN ST STE 5",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012650",
            "telephone_number": "803-936-2461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "719 S Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "SC",
            "postal_code": "290723432",
            "country_code": "US",
            "telephone_number": "803-936-2461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1103 Belleview St.",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "29201",
            "country_code": "US",
            "telephone_number": "803-550-9245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCKELMAN",
        "first_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "PHD, CRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-05",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "SC",
            "license": "6244",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaliyah Broadwater
• Britt Marie Broadway, FNP
• Jeffrey Broadwell, CPO
• Gina Michelle Brock, FNP-C
• Mackenzie A Brock
• Natasha Renee Brockington, APRN
• Meagan Lindsey Broder, LMSW
• Sarah Elizabeth Broeker, DO
• Le'Asiah Brokenbough-Hill
• Corey Elizabeth Brom

• Professional Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.

Verify at the official NPI Registry.