David Brock

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPCC.0024444 Issued in CO

Practice address

1755 Old Ranch Rd
Colorado Springs, CO 80908-4528

Phone

(719) 528-3500

NPI assigned

Jun 20, 2026

Sex

Unspecified or another gender identity

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

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.

• Peaks Recovery Centers LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Colorado Springs, CO
  • NPI 1275029902
  NPD (past)
• Peaks Recovery Centers LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Colorado Springs, CO
  • NPI 1679314967
  NPD (past)

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

{
    "created_epoch": "1781913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781913600000",
    "number": "1962338657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 FLORENCE AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809053547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 OLD RANCH RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809084528",
            "telephone_number": "719-528-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCK",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-20",
        "last_updated": "2026-06-20",
        "certification_date": "2026-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPCC.0024444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broadmoor Valley Dental Services, P.C.
• Broadmoor Valley Wellness Center, Inc.
• Brennan Broadway, AGACNP
• Malik Broady
• Ashley Brock
• Mikaela Jade Brock
• Peter Andrew Brock, FNP-C
• Samantha De Vel Brock, DPT
• Dylan Brockel
• Jane D Brockhausen, PA-C

• Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2026; 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.