Active NPI
Karla Brockman, LCPC
- Professional Counselor
- Atchison, KS
National Provider Identifier
1790937555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 739
- Practice address
- 1301 N 2ND St
Atchison, KS 66002-1297 - Phone
- (913) 367-1593
- Fax
- (913) 367-1627
- NPI assigned
- Oct 10, 2008
- Last updated
- Oct 10, 2008
- 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 | 739 | KS | Primary |
Addresses
Primary practice location
1301 N 2ND St
Atchison, KS 66002-1297
Mailing address
500 Limit St
Leavenworth, KS 66048-4435
Phone (913) 682-5118
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 |
|---|---|---|---|
| 002597 | MO | MD | Professional Counselor |
| 739 | KS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1790937555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LIMIT ST",
"city": "LEAVENWORTH",
"state": "KS",
"postal_code": "660484435",
"telephone_number": "913-682-5118",
"fax_number": "913-682-4664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 N 2ND ST",
"city": "ATCHISON",
"state": "KS",
"postal_code": "660021297",
"telephone_number": "913-367-1593",
"fax_number": "913-367-1627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROCKMAN",
"first_name": "KARLA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atchison, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.