Active NPI
Nancy M Brockett, PH.D., LPC
- Professional Counselor
- West Hartford, CT
National Provider Identifier
1528077617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 001526
- Practice address
- 801 Farmington Ave
West Hartford, CT 06119-1600 - Phone
- (860) 223-2232
- NPI assigned
- Aug 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 001526 | CT | Primary |
Addresses
Primary practice location
801 Farmington Ave
West Hartford, CT 06119-1600
Mailing address
183 Victoria Rd
New Britain, CT 06052-1537
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 26, 2024 through Jan 26, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001526 | CT | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528077617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "183 VICTORIA RD",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060521537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 FARMINGTON AVE",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061191600",
"telephone_number": "860-223-2232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKETT",
"first_name": "NANCY",
"middle_name": "M",
"credential": "PH.D., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "001526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.