1. Home
  2. Directory
  3. Ohio
  4. Middleburg Heights
  5. Counselor
  6. NPI Profile

BROCK OWEN BODENBENDER LPCC
NPI 1750815452
Counselor - Mental Health in Middleburg Heights, OH

Active since April 19, 2017PECOS Enrolled
17951 JEFFERSON PARK RD STE 100, MIDDLEBURG HEIGHTS, OH 44130(440) 879-8517 Get Directions Write a Review

NPPES record last updated: November 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 21, 2022, Nov 17, 2022, Apr 19, 2017 (3 updates tracked since 2017).

About Brock Owen Bodenbender Lpcc NPPES

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

BROCK OWEN BODENBENDER LPCC (NPI 1750815452) is an individual mental health provider in Middleburg Heights, Ohio, licensed in Ohio (E.2001912) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750815452
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBROCK OWEN BODENBENDERCredential: LPCC
Location Address17951 JEFFERSON PARK RD STE 100Middleburg Heights, OH 44130-8439
Mailing Address17951 Jefferson Park Rd Ste 100Middleburg Heights, OH 44130-8439 · (440) 879-8517
Phone(440) 879-8517
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 19, 2017
Last NPPES UpdateNovember 21, 20223 updates tracked since enumeration
NPPES CertifiedNovember 21, 2022
✔ NPI 1750815452 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 OH · E.2001912
17951 JEFFERSON PARK RD STE 100, Middleburg Heights, OH 44130
Open in Google Maps ↗

Secondary Practice Locations 2

Location 112557 Ravenwood DrChardon, OH 44024-9009 · Phone (440) 285-3568
Location 218660 Bagley Rd Ste 101Middleburg Heights, OH 44130-3483 · Phone (440) 879-8517

Other Identifiers 1

Medicaid0267340OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brock Owen Bodenbender Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103261755
PECOS Enrollment IDI20240305002287
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Brock Bodenbender reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Transformation Wellness LLC
Same address
Mental Health
17951 JEFFERSON PARK RD STE 100
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 15 clinicians in this Medicare group
NPI 1033854658 (440) 879-8517
Burl Ring Counseling, Construction & Consulting LLC
50 mi
Mental Health
7301 S RIDGE RD
Madison, OH 44057
  • Reassigned Medicare billing, Ohio enrollment
NPI 1780531012 (419) 906-0675
Grow Healthcare Group PA
1,079 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

TRANSFORMATION WELLNESS LLC
Counselor (Mental Health)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
SAM MILLER
Social Worker (Clinical)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
HEATHER L ANDERSON BOLL LPC
Counselor (Mental Health)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
KAYLA CONNELLY LISW
Social Worker (Clinical)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
SOPHIA MARIE ELLIOTT
Counselor (Professional)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
JENNIFER LISA GOSNELL
Counselor (Mental Health)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
MR. JOSEPH J FATH M.ED, LPCC
Counselor (Mental Health)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517
CAMRYN AMELIA SMITH LISW
Social Worker (Clinical)
17951 JEFFERSON PARK RD STE 100
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 879-8517

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 Brock Bodenbender's NPI number?

The NPI number for Brock Bodenbender is 1750815452. It was assigned to this individual provider in the NPPES registry on April 19, 2017.

Where is Brock Bodenbender located?

Brock Bodenbender practices at 17951 Jefferson Park Rd Ste 100, Middleburg Heights, OH 44130. The listed phone number is (440) 879-8517.

What is Brock Bodenbender's specialty?

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

Is Brock Bodenbender enrolled in Medicare?

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

Which organizations bill Medicare for Brock Bodenbender's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brock Bodenbender reassigns Medicare benefits to 3 organizations: Transformation Wellness LLC (Middleburg Heights, OH), Burl Ring Counseling, Construction & Consulting LLC (Madison, OH) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brock Bodenbender's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brock Bodenbender accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 2 other insurers list Brock Bodenbender 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 Brock Bodenbender was last updated on November 21, 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.