KERI BROCKMAN (NPI# 1518913490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518913490 |
| Entity Type | Individual |
| Full Name | KERI BROCKMAN |
| Credential | LPCA |
| Practice Address |
607 Old Highway 60 Hardinsburg KY 40143-2511 |
| Mailing Address |
107 Cranes Roost Ct Elizabethtown KY 42701-3650 |
| Practice Telephone | 2707565816 |
| Practice Fax Number | 2707565815 |
| Mailing Telephone | 2707652605 |
| Mailing Fax Number | 2707661222 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0107 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30605018 | 05 | |
| CAQH | 11385651 | 01 |
| Street Address |
607 OLD HIGHWAY 60 |
| City | HARDINSBURG |
| State | KY |
| Zip Code | 40143-2511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265480164 | David Michael Faber | Surgery | 607 Old Highway 60, Hardinsburg, KY 40143 | 2006-05-04 |
| 1134359011 | Shondra Beth New | Counselor | 607 Old Highway 60, Hardinsburg, KY 40143-2511 | 2009-07-25 |
| 1710115571 | David Turner | Counselor | 607 Old Highway 60, Hardinsburg, KY 40143-2511 | 2009-06-30 |
| 1447205786 | Cheryl Miller-tivitt | Social Worker | 607 Old Highway 60, Hardinsburg, KY 40143-2511 | 2006-05-24 |
| 1700830841 | Tammie Ervin | Social Worker | 607 Old Highway 60, Hardinsburg, KY 40143-2511 | 2006-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134513559 | Alicia Cheryl Henning | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2015-03-24 |
| 1447539663 | Brian Chad Brill Jr. | Internal Medicine | 207a Fairgrounds Rd, Hardinsburg, KY 40143 | 2011-08-04 |
| 1083811350 | Susan Bacon Baetzel | Physical Therapist | 101 Fairgrounds Rd., Hardinsburg, KY 40143 | 2007-06-29 |
| 1265453658 | Rebecca Driskell-mccoy | Clinic/Center | 122 W Third St, Hardinsburg, KY 40143 | 2006-07-21 |
| 1891713442 | Rebecca Lanora Driskell-mccoy | Dentist | 122 W Third St., Hardinsburg, KY 40143 | 2006-07-18 |
| 1851340848 | Breckinridge County Central Ems Inc | Ambulance | 807 Old Us 60, Hardinsburg, KY 40143 | 2006-05-08 |
| 1538135033 | Meena S Patel | Pediatrics | 203 Fairgrounds Rd, Hardinsburg, KY 40143 | 2006-02-24 |
| 1568912400 | Breckinridge Health Inc | Family Medicine | 107 Old Hwy 60, Hardinsburg, KY 40143 | 2016-10-04 |
| 1457719643 | Ack Healthcare Management LLC | Nurse Practitioner | 83 Ballpark Rd, Hardinsburg, KY 40143 | 2016-02-03 |
| 1306203641 | John Eric Roe Jr. | Nurse Anesthetist, Certified Registered | 1011 Old Highway 60, Hardinsburg, KY 40143 | 2016-01-18 |
| Find all providers in zip 40143 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578473 | Eastern Kentucky Specialties, LLC | Counselor | 1544 Winchester Ave Ste 804, Ashland, KY 41101-7931 | 2020-11-06 |
| 1124627484 | Mosaic Counseling Inc | Counselor | 2767 Veach Rd Ste D, Owensboro, KY 42303-6200 | 2020-10-19 |
| 1699382820 | Amy Brickler | Counselor | 1721 Us 31w Byp, Bowling Green, KY 42101-3030 | 2020-10-01 |
| 1063029429 | Paff Mental Health | Counselor | 236 E Reynolds Rd Ste C2, Lexington, KY 40517-1273 | 2020-09-29 |
| 1265041115 | Tamathy Henderson | Counselor | 129b Howell Dr, Elizabethtown, KY 42701-3614 | 2020-07-27 |
| 1588273866 | Amelia Neuroth | Counselor | 120 E Main St Apt 2102, Lexington, KY 40507-1352 | 2020-07-23 |
| 1922625649 | Laronica Shonta Lawson | Counselor | 17127 Piton Way, Louisville, KY 40245-5409 | 2020-06-29 |
| 1295351724 | Jonathan Yussman | Counselor | 3102 Sunfield Cir, Louisville, KY 40241-6514 | 2020-06-20 |
| 1952927592 | Michaela Henderson | Counselor | 1100 Walnut St # 52, Owensboro, KY 42301-2956 | 2020-06-19 |
| 1841811478 | Geneva Marie Drane | Counselor | 4316 Lonsdale Ave, Louisville, KY 40215-1036 | 2020-05-05 |
| Find all providers with the same taxonomy | ||||
| City | HARDINSBURG |
| Zip Code | 40143 |
Please comment or provide details below to improve the information on KERI BROCKMAN.
| 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.