Aaron Thomas Brockie, MA
Individual provider Active NPI Mental Health Counselor · Red Bud, IL
NPI 1609425602 · NPPES record last updated Mar 19, 2026
Key facts
- NPI
- 1609425602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 178022415 (IL)
- Practice address
- 10257 State Route 3
Red Bud, IL 62278-4418 - Phone
- (618) 282-6233
- Fax
- (888) 388-1971
- NPI assigned
- Sep 11, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 178022415 | IL | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178022415 | IL | Yes |
Addresses
Primary practice location
10257 State Route 3
Red Bud, IL 62278-4418
Mailing address
10257 State Route 3
Red Bud, IL 62278-4418
Phone (618) 282-6233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 370915481007 | Medicaid | IL |
Other providers in Red Bud, IL
- Dana Barrows
- Adrian Bennett
- Lisa Bicket
- Daniel Bollmann
- Kristin Brewer
- Linda Brumback
- Muriel Kathleen Brumley
- Rachael Kay Carver
- Thomas Michael Castilaw
- Cercis Emergency Physicians, LLC
All providers in Red Bud, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.