Jacqueline Marie Brock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

70143 Issued in TX

Practice address

14 Bending BR
Belton, TX 76513-7507

Phone

(254) 833-0781

NPI assigned

Dec 4, 2015

Last updated

Dec 14, 2023By 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 2

Addresses

Other names 1

• Miss Jacqueline Marie Harris Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cedar Crest Hospital

  • General Acute Care Hospital
  • Belton, TX
  • NPI 1194112672
  Authorized official Same address or phone
• Cedar Crest Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wichita Falls, TX
  • NPI 1083384424
  NPD (past)
• Cedar Crest Clinic

  • Mental Health Counselor
  • Belton, TX
  • NPI 1710936380
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1386019123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BENDING BR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765137507",
            "telephone_number": "254-833-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 BENDING BR",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765137507",
            "telephone_number": "254-833-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70143",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "70143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "HARRIS",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "LPC, ATR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katie Renee Breazeale, MS, RD, LD
• Whitney Nicole Bremer, FNP
• Bremilee Senior Services, Inc. (Home Instead)
• Angelia Jan Bridges, RN BSN MPH
• Britt Drug Co
• Brittany Cheyenne Brooks, RN
• Staci Brooks
• Brothers Counseling, PLLC (Inner Mosaic Therapy)
• Elizabeth Brothers, MS, LPC-S, RPT-S
• Cynthia M Brown, PH.D, LCSW

• Professional Counselor in Belton, TX
• Providers in Belton, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.