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SEIJI BROCK LCPC
NPI 1407322589
Counselor - Mental Health in Boise, ID

Active since October 16, 2018PECOS Enrolled
4552 N CITRUS AVE, BOISE, ID 83713(208) 402-6974 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Oct 16, 2018 (2 updates tracked since 2018).

About Seiji Brock Lcpc NPPES

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

SEIJI BROCK LCPC (NPI 1407322589) is an individual mental health provider in Boise, Idaho, licensed in Idaho (LCPC-8176) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407322589
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSEIJI BROCKCredential: LCPC
Location Address4552 N CITRUS AVEBoise, ID 83713-9556
Mailing Address4552 N Citrus AveBoise, ID 83713-9556 · (208) 861-0233
Phone(208) 402-6974
Sole ProprietorYes
Enumeration DateOctober 16, 2018
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
✔ NPI 1407322589 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 ID · LCPC-8176
4552 N CITRUS AVE, Boise, ID 83713
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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)

Seiji Brock Lcpc 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

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

BLUE SAGE COUNSELING, LLC
Counselor (Mental Health)
4552 N CITRUS AVE
BOISE, ID 83713
Ada County (208) 402-6974

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 Seiji Brock's NPI number?

The NPI number for Seiji Brock is 1407322589. It was assigned to this individual provider in the NPPES registry on October 16, 2018.

Where is Seiji Brock located?

Seiji Brock practices at 4552 N Citrus Ave, Boise, ID 83713. The listed phone number is (208) 402-6974.

What is Seiji Brock's specialty?

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

Is Seiji Brock enrolled in Medicare?

Yes. Seiji Brock is registered in the Medicare PECOS enrollment system.

What insurance does Seiji Brock accept?

Health plans from Moda Health Plan, Inc. list Seiji Brock 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 Seiji Brock was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.