Gretchen Brocwell, LPCC
Individual provider Active NPI Mental Health Counselor · Springboro, OH
NPI 1700540937 · NPPES record last updated Oct 25, 2021
Key facts
- NPI
- 1700540937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- E0004272 (OH)
- Practice address
- 1685 S Main St
Springboro, OH 45066-1524 - Phone
- (614) 361-1724
- NPI assigned
- Oct 25, 2021
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0004272 | OH | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0004272 | OH | Yes |
Addresses
Primary practice location
1685 S Main St
Springboro, OH 45066-1524
Mailing address
7579 Olivia CT
Waynesville, OH 45068-7205
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- Courtney Brooke
- Christina M Brown
- Terrance E Brown Sr.
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- Haley Brusnahan
All providers in Springboro, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2021. 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.