MR. BROCK CONRAD KLEMENT LPC
NPI 1366107484
Counselor - Professional in Hudson, WI

Q: What is Brock Klement's NPI number?

The NPI number for Brock Klement is 1366107484. It was assigned to this individual provider in the NPPES registry on November 3, 2021. The provider is also known as Mr. Brock Klement Ham Lpc.

Q: What is Brock Klement's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Brock Klement was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 03, 2021PECOS EnrolledAccepts Medicare Assignment

2501 HANLEY RD STE 201, HUDSON, WI 54016(534) 544-5247(534) 544-5248 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 2, 2022, Oct 11, 2022, Sep 9, 2022 and 3 more (6 updates tracked since 2021).

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About Mr. Brock Conrad Klement Lpc NPPES

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

MR. BROCK CONRAD KLEMENT LPC (NPI 1366107484) is an individual professional provider in Hudson, Wisconsin, licensed in Wisconsin (10038-125) and active in the NPI registry since November 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1366107484

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. BROCK CONRAD KLEMENTCredential: LPC

Location Address2501 HANLEY RD STE 201Hudson, WI 54016-8786

Mailing Address527 13th St S Apt 221Hudson, WI 54016-2157 · (928) 814-3279

Phone(534) 544-5247

Fax(534) 544-5248

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 3, 2021

Last NPPES UpdateNovember 2, 20226 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1366107484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

Licenses✔ Licensed in WI · 10038-125✔ Licensed in MN · 2751

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-18611 (AZ)

2501 HANLEY RD STE 201, Hudson, WI 54016

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Other Names 1

Former Name (1)Mr. Brock Klement Ham Lpc

Secondary Practice Location 1

Location 16524 W Whispering Wind DrGlendale, AZ 85310-3458 · Phone (928) 814-3279

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Brock Conrad Klement Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961855168

PECOS Enrollment IDI20240124001132

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 15

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

GRACE MARIE FRANEY

Social Worker (Clinical)