KAITLYN COOPER BROCK (NPI# 1538569017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538569017 |
| Entity Type | Individual |
| Full Name | KAITLYN COOPER BROCK |
| Credential | M.ED., LPC CANDIDATE |
| Practice Address |
410 S Wilcox St Castle Rock CO 80104 |
| Mailing Address |
320 W Olive St Fort Collins CO 80521-2716 |
| Practice Telephone | 9703103406 |
| Practice Fax Number | 8889654615 |
| Mailing Telephone | 9703103406 |
| Mailing Fax Number | 8889654615 |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 410 S Wilcox St, Castle Rock, CO 80104 | 9703103406 | 8889654615 |
| Street Address |
410 S WILCOX ST |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571475 | Bart R Keller | Physician Assistant | 410 S Wilcox St, Castle Rock, CO 80104-2662 | 2005-07-14 |
| 1124650320 | Tri-county Health Department | Clinic/Center | 410 S Wilcox St, Castle Rock, CO 80104-2662 | 2020-02-06 |
| 1205930302 | David C Simon | Pediatrics | 410 S Wilcox St, Castle Rock, CO 80104-2662 | 2006-09-11 |
| 1144252602 | Douglas Medical PC | Family Medicine | 410 S Wilcox St, Castle Rock, CO 80104-2662 | 2006-07-07 |
| 1245210301 | Larry L. Odekirk | Family Medicine | 410 S Wilcox St, Castle Rock, CO 80104-2662 | 2006-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932737152 | F2dis, Limited Liability Company | Skilled Nursing Facility | 1055 S. Perry Street, Castle Rock, CO 80104 | 2020-04-01 |
| 1518497262 | Courtney Renee Mcmurtry | Dental Hygienist | 610 E. Fifth St., Suite 300, Castle Rock, CO 80104 | 2017-06-15 |
| 1235598350 | Village Physical Therapy, PC | Specialist | 1184 South Perry Street, Suite 230, Castle Rock, CO 80104 | 2016-02-17 |
| 1730513318 | Erin Evers | Physical Therapist | 4348 Woodlands Boulevard, Suite 100, Castle Rock, Co, CO 80104 | 2013-08-30 |
| 1730424185 | Ange' Anesthesia | Nurse Anesthetist, Certified Registered | 157 Crosshaven Pl, Castle Rock, CO 80104 | 2012-12-11 |
| 1902155013 | Rachel Everett | Marriage & Family Therapist | 831 S Perry Street, Suite 100, Castle Rock, CO 80104 | 2012-09-05 |
| 1922366889 | Health Connections of Castle Rock, Inc. | Massage Therapist | 323 Metzler Dr #105, Castle Rock, CO 80104 | 2012-04-30 |
| 1326313255 | Kate Ivey | Counselor | 4889 Thorndike Ave, Castle Rock, CO 80104 | 2012-03-10 |
| 1902106578 | Gordon Talmadge Blair IIi | Physical Therapist | 814 S. Perry St., Suit 101, Castle Rock, CO 80104 | 2010-10-28 |
| 1285943936 | Denise L Lucia | Psychologist | 509 Wilcox Street, Suite 101, Castle Rock, CO 80104 | 2010-09-29 |
| Find all providers in zip 80104 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619509056 | Karin Cady | Counselor | 6213 Castlegate Dr W Apt 1536, Castle Rock, CO 80108-3455 | 2020-02-04 |
| 1205476983 | Pamela Sue Wise | Counselor | 4385 Oakes Mill Ct, Castle Rock, CO 80109-7985 | 2020-01-10 |
| 1649826355 | Patricia Marie Mcvay | Counselor | 428 Front Ave Sw # 630, Castle Rock, WA 98611-9552 | 2019-08-18 |
| 1134604713 | Jillian Jackson | Counselor | 333 Perry St Ste 207, Castle Rock, CO 80104-2434 | 2018-09-28 |
| 1295186575 | Eric Friedman | Counselor | 2246 Castlegate Dr N Apt 422, Castle Rock, CO 80108-8331 | 2016-06-28 |
| 1407288103 | Michael Charles Corby | Counselor | 831 S Perry St Ste 100, Castle Rock, CO 80104-1920 | 2013-08-05 |
| 1366709750 | Susan Harper Peterson | Counselor | 1560 Olympia Cir, #103, Castle Rock, CO 80104-5464 | 2012-04-23 |
| 1124397807 | Amanda Cosel | Counselor | 2568 Cutters Cir Apt 104, Castle Rock, CO 80108-7509 | 2011-12-23 |
| 1760642383 | Harla B. Frank | Counselor | 572 W Prestwick Way, Castle Rock, CO 80104-2761 | 2008-06-17 |
| 1851934343 | Terry Lynn Holloway | Counselor | 2232 S Silver Lake Rd, Castle Rock, WA 98611-8021 | 2019-10-28 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80104 |
Please comment or provide details below to improve the information on KAITLYN COOPER BROCK.
| 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.