MRS. JACQUELINE MARIE BROCK (NPI# 1386019123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386019123 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE MARIE BROCK |
| Other Name | MISS JACQUELINE MARIE HARRIS |
| Credential | LPC |
| Practice Address |
3106 S W S Young Dr Suite 201-b Killeen TX 76542-2000 |
| Mailing Address |
3500 S Interstate 35 Belton TX 76513-9426 |
| Practice Telephone | 2549394026 |
| Practice Fax Number | 2549392334 |
| Mailing Telephone | 2549394026 |
| Mailing Fax Number | 2549392334 |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2016-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
70143 | TX | Behavioral Health & Social Service Providers |
| N | 174400000X | Specialist | 70143 | TX | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295171510 | Jacqueline Brock | Counselor | 1016 Silo Ln, Anderson, SC 29625-6753 | 2013-05-14 |
| 1780905000 | Jacqueline D Brock | Marriage & Family Therapist | 760 N Euclid St, Suite 108, Anaheim, CA 92801-4133 | 2010-06-21 |
| Street Address |
3106 S W S YOUNG DR SUITE 201-B |
| City | KILLEEN |
| State | TX |
| Zip Code | 76542-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991672 | Richard R Woehrle | Dentist | 3106 S W S Young Dr, Ste A101, Killeen, TX 76542-2007 | 2005-06-09 |
| 1972166015 | Shamecia Lasah Jammar | Behavior Technician | 3106 S W S Young Dr, Killeen, TX 76542-2000 | 2019-04-15 |
| 1053761817 | Eryn F Leffler | Physical Therapist | 3106 S W S Young Dr, Suite A-102, Killeen, TX 76542-2000 | 2016-06-13 |
| 1699104547 | Loren Price | Social Worker | 3106 S W S Young Dr, Suite 201b, Killeen, TX 76542-2000 | 2013-11-01 |
| 1073948873 | Robin Lynn Cole | Chiropractor | 3106 S W S Young Dr, Bldg D Suite 402, Killeen, TX 76542-2000 | 2013-09-11 |
| 1437405214 | Tiffany Monic Turner | Physical Therapist | 3106 S W S Young Dr, Suite A102, Killeen, TX 76542-2000 | 2012-07-30 |
| 1801194899 | Megan E Ware | Physical Therapist | 3106 S W S Young Dr, Killeen, TX 76542-2000 | 2011-03-01 |
| 1972822682 | Maria Wilhelmina Huggins | Physical Therapist | 3106 S W S Young Dr, Suite 101, Killeen, TX 76542-2000 | 2010-05-19 |
| 1982834917 | Linda Sinnott | Counselor | 3106 S W S Young Dr, Suite 201b, Killeen, TX 76542-2000 | 2009-07-24 |
| 1184734741 | Richard Anderson | Physical Therapy Assistant | 3106 S W S Young Dr, Suite A 102, Killeen, TX 76542-2000 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1083252209 | Killeen Dental and Orthodontics Pllc | Dentist | 2620 Trimmier Rd, Killeen, TX 76542 | 2019-12-18 |
| 1750935391 | Leo Mora Therapy Services Pllc | Marriage & Family Therapist | 400 W. Jasper Dr. Ste. 100b, Killeen, TX 76542 | 2019-08-01 |
| 1730742305 | Angela Eads | Behavioral Analyst | 3106 S Ws Young Dr, Building A, Suite 104/105, Killen, TX 76542 | 2019-04-18 |
| 1801370572 | Keri Keller | Dentist | 507 W Stan Schlueter Loop Ste 400, Killeen, TX 76542 | 2018-09-19 |
| 1740787209 | Cynthia Waller | Speech-Language Pathologist | 4205 Old Florence Road, Killeen, TX 76542 | 2018-04-11 |
| 1275034597 | Killeen Modern Dentistry, PC | Dentist | 507 W Stan Schlueter Loop, Suite 104, Killeen, TX 76542 | 2018-02-22 |
| 1780182691 | Jennifer Monique Coleman | Counselor | 9706 Shimla Drive, Killeen, TX 76542 | 2018-01-25 |
| 1255870440 | Glori Sommerer | Counselor | 100 S Central Texas Expressway, # 208, Harker Heights, TX 76542 | 2017-02-21 |
| 1306382775 | Dana Michelle Kerekes | Massage Therapist | 5001 Teal Drive, Killeen, TX 76542 | 2017-01-10 |
| Find all providers in zip 76542 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942813811 | Michelle Denise Knight | Counselor | 2201 S W S Young Dr Ste 105c, Killeen, TX 76543-5350 | 2020-08-28 |
| 1134747975 | Harmony Grace Counseling Pllc | Counselor | 2904 E Stan Schlueter Loop # 74, Killeen, TX 76542-4813 | 2020-07-08 |
| 1407483829 | Rocky Young | Counselor | 4304 E Central Texas Expy, Killeen, TX 76543-7308 | 2020-03-25 |
| 1013540228 | At Your Pace Counseling, LLC | Counselor | 1711 E Central Texas Expy Ste 301, Killeen, TX 76541-9147 | 2020-02-16 |
| 1841839446 | Phuong Lan Carter | Counselor | 9312 Bowlfield Drive, Killeen, TX 76542 | 2019-12-30 |
| 1578109807 | Roshetta Lee Cason | Counselor | 3705 Flat Rock Mountain Dr, Killeen, TX 76549-6530 | 2019-11-21 |
| 1386287480 | Genna P Vivona | Counselor | 1711 E Central Tx Expy Ste 100a, Killeen, TX 76541-9145 | 2019-10-21 |
| 1386206985 | Munirah Aziza Tarver | Counselor | 1711 E Central Texas Expy Ste 300f, Killeen, TX 76541-9120 | 2019-07-03 |
| 1982177713 | Butterflies Prospering Wellness Co. | Counselor | 3300 E Central Texas Expy Ste 301, Killeen, TX 76543-5306 | 2019-01-04 |
| 1215426317 | Daniel E Helvetius Jr. | Counselor | 4105 Paintbrush Dr, Killeen, TX 76542-4603 | 2018-05-03 |
| Find all providers in KILLEEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.