Individual provider Active NPI

Sean Brock, LPC, BCN

  • Professional Counselor
  • Denver, CO
National Provider Identifier
1376380063
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0011636 Issued in CO
Practice address
1720 S Bellaire St Ste 710
Denver, CO 80222-4370
Phone
(720) 384-8418
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0011636 CO Primary

Addresses

Primary practice location

1720 S Bellaire St Ste 710
Denver, CO 80222-4370

Mailing address

1720 S Bellaire St Ste 710
Denver, CO 80222-4370
Phone (720) 384-8418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511001087 CO Practitioner - Mental Health Counselor 6800364688 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10565 Black Opal Rd
San Diego, CA 92127-4433

2642 E 21St St
Suite 175
Tulsa, OK 74114-1734

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0011636COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Colorado LLC CurrentSince Jul 21, 2024 Accepting new patients

Locations

1720 S Bellaire St
Ste 710
Denver, CO 80222
Phone (720) 232-0834

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1376380063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 710",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224370",
            "telephone_number": "720-384-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S BELLAIRE ST STE 710",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224370",
            "telephone_number": "720-384-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "SEAN",
        "credential": "LPC, BCN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.