Keith Brouca
Counselor, Mental Health in Montclair, New Jersey
1285235101- Practice location
- 217 Glenridge Ave Ste 2, Montclair, NJ 07042-3753
- Phone
- 201-293-0115
- Fax
- —
- Last updated
- February 4, 2025
Keith Brouca is a Counselor, Mental Health based in Montclair, NJ. Keith Brouca practices in Montclair, NJ. The NPI Number for Keith Brouca is 1285235101 and holds a License No. 37PC00789600 (NJ). The current practice location address for Keith Brouca is 217 Glenridge Ave Ste 2, Montclair, NJ 07042-3753 and can be reached out via phone at 201-293-0115.
Provider Profile Details
- NPI Number
- 1285235101
- Provider Name
- Keith Brouca
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 217 Glenridge Ave Ste 2, Montclair, NJ 07042-3753
- Phone Number
- 201-293-0115
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 6, 2020
- Last Update Date
- February 4, 2025
- Certification Date
- February 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 217 Glenridge Ave Ste 2
Montclair, NJ 07042-3753 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3753
- Phone Number
- 201-293-0115
Provider Business Mailing Address Details
- Address
- 217 Glenridge Ave Ste 2
Montclair, NJ 07042-3753 - City
- Montclair
- State
- NJ
- Zip
- 07042-3753
License Information
- License Number
- 37PC00789600
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Keith Brouca?
The NPI number of Keith Brouca is 1285235101. It was assigned on November 6, 2020 and is currently active in the NPPES registry.
What is the specialty of Keith Brouca?
Keith Brouca is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00789600.
Where does Keith Brouca practice?
The practice location is 217 Glenridge Ave Ste 2, Montclair, NJ 07042-3753. The office can be reached at 201-293-0115 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1285235101 directly on the NPPES registry website.