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KENNETH J. BROCK
NPI 1407571177
Counselor in Olympia, WA

Active since October 05, 2022
1202 BLACK LAKE BLVD SW STE B, OLYMPIA, WA 98502(360) 878-8248 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kenneth J. Brock NPPES

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

KENNETH J. BROCK (NPI 1407571177) is an individual counselor in Olympia, Washington and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1407571177
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameKENNETH J. BROCK
Location Address1202 BLACK LAKE BLVD SW STE BOlympia, WA 98502-7208
Mailing Address4015 Rock Maple Ln Nw Apt 102Olympia, WA 98502-3899 · (253) 320-6695
Phone(360) 878-8248
Sole ProprietorNo
Enumeration DateOctober 5, 2022
NPPES CertifiedOctober 5, 2022
✔ NPI 1407571177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1202 BLACK LAKE BLVD SW STE B, Olympia, WA 98502
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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.

CINDI HAMMOND
Counselor
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
SHERYL STONE-CARLE
Counselor
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
TOM EDWIN CROWELL SOCIAL WORKER
Social Worker
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
AMOS EDWARD SMITH D.MIN.
Counselor
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
ANN KRISTIN SKAAR
Peer Specialist
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 440-7983
TRACY OSLAKOVIC
Case Manager/Care Coordinator
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
CRYSTAL SHANELL MCDANELD
Peer Specialist
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248
MRS. JAMIE DAWNELL ESPINOZA
Peer Specialist
1202 BLACK LAKE BLVD SW STE B
OLYMPIA, WA 98502
Thurston County (360) 878-8248

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 Kenneth Brock's NPI number?

The NPI number for Kenneth Brock is 1407571177. It was assigned to this individual provider in the NPPES registry on October 5, 2022.

Where is Kenneth Brock located?

Kenneth Brock practices at 1202 Black Lake Blvd SW Ste B, Olympia, WA 98502. The listed phone number is (360) 878-8248.

What is Kenneth Brock's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Brock was last updated on October 5, 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.