Victoria Brock, LIMHP, LADC, CPC
Individual provider Active NPI Professional Counselor · Lincoln, NE
NPI 1285285379 · NPPES record last updated Sep 20, 2019
Key facts
- NPI
- 1285285379
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2231 (NE)
- Practice address
- 5351 Colby St
Lincoln, NE 68504-3044 - Phone
- (402) 499-4028
- NPI assigned
- Sep 20, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2231 | NE | MD | Professional Counselor |
| 1050 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Counseling | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1050 | NE | |
| Professional Counselor |
101YP2500X | 2231 | NE | Yes |
Addresses
Primary practice location
5351 Colby St
Lincoln, NE 68504-3044
Mailing address
5351 Colby St
Lincoln, NE 68504-3044
Phone (402) 499-4028
Other providers in Lincoln, NE
- Broadridge Healthcare Services LLC
- Broadstep Academy - Nebraska Inc
- Carol A. Brock
- Nicole Rae Brock
- Rachel Lauren Brock
- David L Brockman
- Indra Anita Brockman
- Kathleen K Brockman
- Katlin Brockman
- Bridget Brodecky
All providers in Lincoln, NE · Professional Counselor in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.