Indra Anita Brockman, PLMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13791 Issued in NE

Practice address

770 N Cotner Blvd Ste 330
Lincoln, NE 68505-2377

Phone

(402) 948-4702

NPI assigned

Feb 19, 2024

Last updated

Feb 19, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1801651930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 TRELAWNEY DR",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121834",
            "telephone_number": "402-310-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 N COTNER BLVD STE 330",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685052377",
            "telephone_number": "402-948-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKMAN",
        "first_name": "INDRA",
        "middle_name": "ANITA",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol A. Brock
• Nicole Rae Brock, CNA,
• Rachel Lauren Brock, D.O.
• Victoria Brock, LIMHP, LADC, CPC
• David L Brockman, DDS,MS
• Kathleen K Brockman, RD
• Katlin Brockman
• Bridget Brodecky, A.P.R.N.
• Sarah Elizabeth Broderson, APRN
• Theresa Michelle Brodeur, PA-C

• Mental Health Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.