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MRS. ANDREA R BROCKMAN N.C.C., L.M.H.C.
NPI 1295275097
Counselor - Mental Health in Saint Petersburg, FL

Active since February 28, 2017PECOS Enrolled
4024 CENTRAL AVE, SAINT PETERSBURG, FL 33711(727) 327-7656(727) 328-8978 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2020, Feb 28, 2017 (2 updates tracked since 2017).

About Mrs. Andrea R Brockman N.c.c., L.m.h.c. NPPES

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

MRS. ANDREA R BROCKMAN N.C.C., L.M.H.C. (NPI 1295275097) is an individual mental health provider in Saint Petersburg, Florida, licensed in Florida (MH17599) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295275097
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ANDREA R BROCKMANCredential: N.C.C., L.M.H.C.
Location Address4024 CENTRAL AVESaint Petersburg, FL 33711-1239
Mailing Address4024 Central AveSaint Petersburg, FL 33711-1239 · (727) 327-7656 · Fax (727) 328-8978
Phone(727) 327-7656
Fax(727) 328-8978
Sole ProprietorNo
Enumeration DateFebruary 28, 2017
Last NPPES UpdateMarch 3, 20202 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1295275097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · MH17599✔ Licensed in IL · 180010802✔ Licensed in IL · 178011935
4024 CENTRAL AVE, Saint Petersburg, FL 33711
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Secondary Practice Locations 2

Location 11344 22nd St SSaint Petersburg, FL 33712-2744 · Phone (727) 821-6701
Location 2330 SW Washington StPeoria, IL 61602-1406 · Phone (309) 676-2400 · Fax (309) 676-6022

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea R Brockman N.c.c., L.m.h.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 Andrea Brockman's NPI number?

The NPI number for Andrea Brockman is 1295275097. It was assigned to this individual provider in the NPPES registry on February 28, 2017.

Where is Andrea Brockman located?

Andrea Brockman practices at 4024 Central Ave, Saint Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Andrea Brockman's specialty?

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

Is Andrea Brockman enrolled in Medicare?

Yes. Andrea Brockman is registered in the Medicare PECOS enrollment system.

What insurance does Andrea Brockman accept?

Health plans from Ambetter Health and Ambetter of Alabama list Andrea Brockman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Brockman was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.