Roberta A. Brock, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9393 Issued in FL

Practice address

2115 S Babcock St
Melbourne, FL 32901-5303

Phone

(321) 729-0779

Fax

(321) 729-0784

NPI assigned

Jan 9, 2008

Last updated

Sep 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253664000000",
    "number": "1336324235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 PINEAPPLE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357609",
            "telephone_number": "321-259-7262",
            "fax_number": "321-259-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 S BABCOCK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015303",
            "telephone_number": "321-729-0779",
            "fax_number": "321-729-0784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "ROBERTA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-09",
        "last_updated": "2009-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH5549",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH5549",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonia Renee Briscoe, PT, DPT
• David Lee Brison, P.T.A.
• Victoria Brissette-Rice
• Melissa Ann Britton, FNP-C
• Broader MRI of Brevard County
• Allison Brody
• Cori Diane Broedling, MT, PTA
• Clarence James Bronstema, D.O.
• Arlena Sharpe Brookins, LCSW
• Carmel L Brooks, MA

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.