Individual provider Active NPI

Gina Marie Brobeck, LPCC-S

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1831577857
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303858-SUPV Issued in OH
Practice address
495 E Mound St Ste 110
Columbus, OH 43215-5596
Phone
(614) 948-3273
Fax
(855) 740-2025
NPI assigned
May 11, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303858-SUPV OH Primary

Addresses

Primary practice location

495 E Mound St Ste 110
Columbus, OH 43215-5596

Mailing address

5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone (614) 948-3273

Other practice location 1

5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone (614) 948-3273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206004479 OH Practitioner - Mental Health Counselor 3274976253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Behavioral Health Services, Inc.Group PAC ID 6002164845, 15 clinicians

Practice addresses (Care Compare)

5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone (614) 948-3273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.2303858-SUPVOHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Behavioral Health Services, Inc. CurrentSince Apr 21, 2026 Accepting new patients

Locations

495 E Mound St
Ste 110
Columbus, OH 43215
Phone (614) 948-3273

5011 Pine Creek Dr
Westerville, OH 43081
Phone (614) 948-3273

623 Park Meadow Rd
Ste H
Westerville, OH 43081
Phone (614) 774-1120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1831577857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 PINE CREEK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814849",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 E MOUND ST STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155596",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5011 Pine Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430814849",
            "country_code": "US",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROBECK",
        "first_name": "GINA",
        "middle_name": "MARIE",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303858-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.