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KEITH BROUCA
NPI 1285235101
Counselor - Mental Health in Montclair, NJ

Active since November 06, 2020
217 GLENRIDGE AVE STE 2, MONTCLAIR, NJ 07042(201) 293-0115 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 4, 2025, Nov 6, 2020 (2 updates tracked since 2020).

About Keith Brouca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH BROUCA (NPI 1285235101) is an individual mental health provider in Montclair, New Jersey, licensed in New Jersey (37PC00789600) and active in the NPI registry since November 2020.

NPPES Registry Identity

NPI1285235101
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH BROUCA
Location Address217 GLENRIDGE AVE STE 2Montclair, NJ 07042-3753
Mailing Address217 Glenridge Ave Ste 2Montclair, NJ 07042-3753
Phone(201) 293-0115
Sole ProprietorYes
Enumeration DateNovember 6, 2020
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1285235101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37PC00789600
217 GLENRIDGE AVE STE 2, Montclair, NJ 07042
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Brouca's NPI number?

The NPI number for Keith Brouca is 1285235101. It was assigned to this individual provider in the NPPES registry on November 6, 2020.

Where is Keith Brouca located?

Keith Brouca practices at 217 Glenridge Ave Ste 2, Montclair, NJ 07042. The listed phone number is (201) 293-0115.

What is Keith Brouca's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Keith Brouca was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.