MRS. ANDREA R BROCKMAN N.C.C., L.M.H.C.
NPI 1295275097
Counselor - Mental Health in Saint Petersburg, FL
NPI Status: Active since February 28, 2017
Contact Information
4024 CENTRAL AVE
SAINT PETERSBURG, FL
ZIP 33711
Phone: (727) 327-7656
Fax: (727) 328-8978
- Individual
- Female
- Counselor
- Mental Health
- Accepts Insurance
- PECOS Enrolled
About ANDREA BROCKMAN
This page provides the complete NPI Profile along with additional information for Andrea Brockman, a provider established in Saint Petersburg, Florida with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1295275097 assigned on February 2017. The practitioner's primary taxonomy code is 101YM0800X with license number MH17599 (FL). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1295275097
- Provider Name
- MRS. ANDREA R BROCKMAN N.C.C., L.M.H.C.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4024 CENTRAL AVE SAINT PETERSBURG, FL 33711
- Location Phone
- (727) 327-7656
- Location Fax
- (727) 328-8978
- Mailing Address
- 4024 CENTRAL AVE SAINT PETERSBURG, FL 33711
- Mailing Phone
- (727) 327-7656
- Mailing Fax
- (727) 328-8978
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-28-2017
- Last Update Date
- 03-03-2020
- Code Navigator
A mental health counselor like Andrea Brockman provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Secondary Locations
- 330 SW Washington St
Peoria, IL 61602
(309) 676-2400 - 1344 22nd St S
Saint Petersburg, FL 33712
(727) 821-6701
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- MH17599
- License State
- FL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 180010802 (IL) |
| 2 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 178011935 (IL) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clarity Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Thrive Silver - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Andrea Brockman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for MRS. ANDREA R BROCKMAN N.C.C., L.M.H.C.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1295275097, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ST PETERSBURG, FL 33711
ST PETERSBURG, FL 33711
SAINT PETERSBURG, FL 33711
ST PETERSBURG, FL 33711
ST PETERSBURG, FL 33711
ST PETERSBURG, FL 33711
SAINT PETERSBURG, FL 33711
ST PETERSBURG, FL 33711
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295275097, enumerated as an "individual" on February 28, 2017.
The provider is located at 4024 CENTRAL AVE SAINT PETERSBURG, FL 33711 and the phone number is (727) 327-7656.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
The provider might be accepting Accepts: Ambetter Health and Ambetter of Alabama. Please consult your insurance carrier or call the provider to verify.
