KATE BROCKMAN ATR LCPC NPI 1346677432

NPI Information

NPI: 1346677432
Provider Name: KATE BROCKMAN, ATR, LCPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1716 FORDEM AVE
MADISON, WI
ZIP 53704
Phone: (608) 221-3511
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Kate Brockman, ATR, LCPC is a mental health counselor in Madison, WI. Kate Brockman, ATR, LCPC NPI is 1346677432. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1716 FORDEM AVE
MADISON, WI
ZIP 53704-604
Phone: (608) 221-3511
Fax: (608) 221-3514

The enumeration date for this NPI number is 10/3/2013 and was last updated on 10/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	7078-125	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1346677432	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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