Richard B Brock, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3831 Issued in LA

Practice address

8932 Jewella Ave Ste a
Shreveport, LA 71118-2117

Phone

(318) 540-3223

NPI assigned

May 5, 2023

Sex

Male

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Merakey Pennsylvania

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1467252536
  NPD (past)
• Merakey Pennsylvania

  • Community/Behavioral Health Agency
  • Baton Rouge, LA
  • NPI 1700218260
  NPD (past)

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

{
    "created_epoch": "1683244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1821787714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 BUTLER HILL RD",
            "city": "BENTON",
            "state": "LA",
            "postal_code": "710068645",
            "telephone_number": "318-540-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8932 JEWELLA AVE STE A",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182117",
            "telephone_number": "318-540-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "RICHARD",
        "middle_name": "B",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Wilton Broadwell, MD
• Brian Broadwell, D.D.S.
• Julie M Broadwell, M.D.
• Larry K Broadwell, MD
• Laura Elizabeth Brock, LPC
• Deanichantey Brockett
• Alexandra Hart Brockman
• Ross David Brockman, DMD
• Ashley Broden, PHARM D
• Myranda Brodsky, DO

• Professional Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.