Theresa Brockmeyer

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

301 Main St
Sidney, IA 51652-8036

Phone

(515) 851-2630

NPI assigned

Apr 8, 2025

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family Connections, Inc

  • Case Management Agency
  • Council Bluffs, IA
  • NPI 1740357300
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 8, 2025.

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1235923798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 N 16TH ST STE K",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515010109",
            "telephone_number": "712-256-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "SIDNEY",
            "state": "IA",
            "postal_code": "516528036",
            "telephone_number": "515-851-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMEYER",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Americare Support Services
• Michael C Anderson
• Arc Transportation
• Consultant Pharmacists Inc
• Consultant Pharmacists Inc
• David M Dettman, D.D.S.
• Faith in Action Volunteers, Inc.
• Bailey Focht, ICBD

• All providers in Sidney, IA
• Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; 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.