Active NPI
Joan M Brock, LPC
- Professional Counselor
- Pryor, OK
National Provider Identifier
1508086711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2508
- Practice address
- 231 E Graham Ave
Pryor, OK 74361-2436 - Phone
- (918) 825-1405
- Fax
- (918) 825-1406
- NPI assigned
- Apr 27, 2007
- Last updated
- Aug 17, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2508 | OK | Primary |
Addresses
Primary practice location
231 E Graham Ave
Pryor, OK 74361-2436
Mailing address
231 E Graham Ave
Pryor, OK 74361-2436
Phone (918) 825-1405
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2508 | OK | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313539200000",
"number": "1508086711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E GRAHAM AVE",
"city": "PRYOR",
"state": "OK",
"postal_code": "743612436",
"telephone_number": "918-825-1405",
"fax_number": "918-825-1406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E GRAHAM AVE",
"city": "PRYOR",
"state": "OK",
"postal_code": "743612436",
"telephone_number": "918-825-1405",
"fax_number": "918-825-1406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCK",
"first_name": "JOAN",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2011-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OK",
"license": "2508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pryor, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.