Steven Matthew Brokob, LPC
Individual provider Active NPI Professional Counselor · Ashland, VA
NPI 1699428144 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1699428144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 0701011211 (VA)
- Practice address
- 12300 Washington Hwy
Ashland, VA 23005-7646 - Phone
- (804) 365-4222
- NPI assigned
- Feb 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701011211 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanover County Board of Supervisors | Past |
Accepting new patients | |
| Hanover County Board of Supervisors | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701011211 | VA | Yes |
Addresses
Primary practice location
12300 Washington Hwy
Ashland, VA 23005-7646
Mailing address
7403 Generals Dr
Mechanicsville, VA 23111-1623
Phone (804) 912-7797
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- Bridges Performance Therapy and Wellness, LLC
- Christopher Brittig
- Brown Chiropractic
- Christy Brown
- Christine T Brubaker
- Emory Christine Bruno
- Mariann Mendelsohn Brush
All providers in Ashland, VA · Professional Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. 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.